Katherine H Vivanco in Stamford - Clinical
Katherine H Vivanco - NPI 1710189105
Katherine H Vivanco is a Clinical in Stamford, Connecticut. Katherine H Vivanco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katherine H Vivanco is 1710189105. The last update date is 2009-09-04.
Katherine H Vivanco's current location address is 2001 W Main St, Stamford, Connecticut. You can contact this provider via phone number 2033219119. The mailing address for Katherine H Vivanco is 2001 W Main St, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine H Vivanco |
|---|---|
| Address | 2001 W Main St, Stamford, Connecticut |
| Phone Number | 2033219119 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | EDM, MSW, |
NPI Number Detail
| NPI Number | 1710189105 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2009-09-04 |
Provider Mailing Address Detail
| Address | 2001 W Main St |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69024501 |
| Phone Number | 2033219119 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7121 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Katherine H Vivanco by the Centers for Medicare & Medicaid Services?
The Katherine H Vivanco has been assigned the NPI (National Provider Identifier) 1710189105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Katherine H Vivanco is geographically located?
The Katherine H Vivanco is physically situated at the following location: 2001 W Main St, Stamford, CT, 69024501.
What is Katherine H Vivanco's area of expertise and its corresponding taxonomy classification?
The Katherine H Vivanco's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Katherine H Vivanco receive the assignment of its 1710189105 from the Centers for Medicare & Medicaid Services?
The Katherine H Vivanco was issued its 1710189105 by the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information related to Katherine H Vivanco most recently updated or refreshed?
The details pertaining to the Katherine H Vivanco, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-04.
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