Elisabeth Campbell Archie in Waterbury - Clinical
Elisabeth Campbell Archie - NPI 1487778775
Elisabeth Campbell Archie is a Clinical in Waterbury, Connecticut. Elisabeth Campbell Archie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elisabeth Campbell Archie is 1487778775. The last update date is 2007-07-09.
Elisabeth Campbell Archie's current location address is 34 Murray Street, Waterbury, Connecticut. You can contact this provider via phone number 2037568317 and fax number 2037568310. The mailing address for Elisabeth Campbell Archie is 34 Murray Street, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisabeth Campbell Archie |
|---|---|
| Address | 34 Murray Street, Waterbury, Connecticut |
| Phone Number | 2037568317 |
| Fax Number | 2037568310 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1487778775 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 34 Murray Street |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67101920 |
| Phone Number | 2037568317 |
| Fax Number | 2037568310 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5548 |
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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 identifier code issued to Elisabeth Campbell Archie by the Centers for Medicare & Medicaid Services (CMS)?
The Elisabeth Campbell Archie has been assigned the NPI (National Provider Identifier) 1487778775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Elisabeth Campbell Archie's facilities are geographically located?
The facilities of Elisabeth Campbell Archie are physically situated at the following location: 34 Murray Street, Waterbury, CT, 67101920.
What is the Elisabeth Campbell Archie's specialty and taxonomy code?
The Elisabeth Campbell Archie's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Elisabeth Campbell Archie receive the assignment of its 1487778775 from the Centers for Medicare & Medicaid Services?
The Elisabeth Campbell Archie was issued its 1487778775 by the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the Elisabeth Campbell Archie's information last updated?
The Elisabeth Campbell Archie's information was last updated on 2007-07-09.
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