Sureta Escobar is a Clinical in Waterbury, Connecticut. Sureta Escobar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sureta Escobar is 1003949041. The last update date is 2007-07-08.
Sureta Escobar's current location address is 1138 West Main St, Waterbury, Connecticut. You can contact this provider via phone number 2037550707. The mailing address for Sureta Escobar is 1138 West Main St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sureta Escobar |
|---|---|
| Address | 1138 West Main St, Waterbury, Connecticut |
| Phone Number | 2037550707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003949041 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1138 West Main St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 6708 |
| Phone Number | 2037550707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 0004361LCSW |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272744 | CT | MHN | |
| 140004361CT01 | CT | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sureta Escobar by the Centers for Medicare & Medicaid Services?
The Sureta Escobar has been issued the NPI (National Provider Identifier) 1003949041 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sureta Escobar?
The Sureta Escobar is physically situated at 1138 West Main St, in the city of Waterbury, state of CT, with the postal code 6708.
What is the area of specialization for Sureta Escobar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sureta Escobar is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Sureta Escobar receive its 1003949041 assignment from the Centers for Medicare & Medicaid Services?
The Sureta Escobar was assigned its 1003949041 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sureta Escobar, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sureta Escobar, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.