Ivelisse Soto in Waterbury - Clinical

Ivelisse Soto - NPI 1023139599

Ivelisse Soto is a Clinical in Waterbury, Connecticut. Ivelisse Soto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ivelisse Soto is 1023139599. The last update date is 2012-02-16.

Ivelisse Soto's current location address is 95 Thomaston Ave, Waterbury, Connecticut. You can contact this provider via phone number 2038055378. The mailing address for Ivelisse Soto is 95 Thomaston Ave, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivelisse Soto
Address 95 Thomaston Ave, Waterbury, Connecticut
Phone Number 2038055378
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1023139599
Provider Enumeration Date 2007-04-03
Last Updated Date 2012-02-16

Provider Mailing Address Detail

Address 95 Thomaston Ave
City Waterbury
State Connecticut (CT)
Post Code 67021007
Phone Number 2038055378
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6400
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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FAQs about Ivelisse Soto

What is the unique identification code assigned to Ivelisse Soto by the Centers for Medicare & Medicaid Services?

The Ivelisse Soto has been issued the NPI (National Provider Identifier) 1023139599. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ivelisse Soto located?

The Ivelisse Soto is located at 95 Thomaston Ave, Waterbury, CT 67021007.

What is Ivelisse Soto's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ivelisse Soto is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Ivelisse Soto receive the assignment of its 1023139599 from the Centers for Medicare & Medicaid Services?

The Ivelisse Soto was issued its 1023139599 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date were the details pertaining to Ivelisse Soto last refreshed?

The information related to the Ivelisse Soto, including its address, specialty, and other relevant details, was last updated on 2012-02-16.

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