Shantanette Patrice in Roxbury - School

Shantanette Patrice - NPI 1649319013

Shantanette Patrice is a School in Roxbury, Massachusetts. Shantanette Patrice practices all healthcare services and medical treatments related to School. The NPI Number for Shantanette Patrice is 1649319013. The last update date is 2007-07-08.

Shantanette Patrice's current location address is 55 New Dudley St, Roxbury, Massachusetts. You can contact this provider via phone number 6175349940 and fax number 6175349948. The mailing address for Shantanette Patrice is 55 New Dudley St, Roxbury, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Shantanette Patrice
Address 55 New Dudley St, Roxbury, Massachusetts
Phone Number 6175349940
Fax Number 6175349948
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1649319013
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 New Dudley St
City Roxbury
State Massachusetts (MA)
Post Code 21190
Phone Number 6175349940
Fax Number 6175349948

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 1041S0200X
Definition:
A social worker who provides services and support to students in school settings.

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FAQs about Shantanette Patrice

What is the Shantanette Patrice's 1649319013?

The Shantanette Patrice's NPI (National Provider Identifier) Number is 1649319013. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Shantanette Patrice's physical address?

The Shantanette Patrice is physically located at 55 New Dudley St, in the city of Roxbury, MA, with the postal code 21190.

What is Shantanette Patrice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shantanette Patrice's specialized field of practice is School, and the corresponding taxonomy code that categorizes this area of specialization is 1041S0200X.

On what date did the Shantanette Patrice receive its 1649319013 assignment from the Centers for Medicare & Medicaid Services?

The Shantanette Patrice was assigned its 1649319013 by the Centers for Medicare & Medicaid Services on 2007-02-05.

As of what date were the details pertaining to Shantanette Patrice last refreshed?

The information related to the Shantanette Patrice, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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