Patricia A Canavan in Presque Isle - Clinical

Patricia A Canavan - NPI 1093734345

Patricia A Canavan is a Clinical in Presque Isle, Maine. Patricia A Canavan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia A Canavan is 1093734345. The last update date is 2013-05-24.

Patricia A Canavan's current location address is 162 Main St, Presque Isle, Maine. You can contact this provider via phone number 2077683304 and fax number 2077646340. The mailing address for Patricia A Canavan is 162 Main St, Presque Isle, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia A Canavan
Address 162 Main St, Presque Isle, Maine
Phone Number 2077683304
Fax Number 2077646340
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1093734345
Provider Enumeration Date 2006-07-18
Last Updated Date 2013-05-24

Provider Mailing Address Detail

Address 162 Main St
City Presque Isle
State Maine (ME)
Post Code 47692817
Phone Number 2077683304
Fax Number 2077646340

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC8211
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200828 ME ANTHEM
9454062 ME AETNA
1093734345 ME --

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FAQs about Patricia A Canavan

What is the unique 10-digit identifier code assigned to Patricia A Canavan by the Centers for Medicare & Medicaid Services?

The Patricia A Canavan has been issued the NPI (National Provider Identifier) 1093734345 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Patricia A Canavan is physically located?

The Patricia A Canavan is physically situated at the following address: 162 Main St, Presque Isle, ME, 47692817.

What is Patricia A Canavan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Patricia A Canavan is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093734345 to Patricia A Canavan?

The Centers for Medicare & Medicaid Services assigned the 1093734345 to Patricia A Canavan on 2006-07-18.

As of what date was the information regarding Patricia A Canavan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Patricia A Canavan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-24.

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