Nadine P. Fenderson in South Portland - Clinical
Nadine P. Fenderson - NPI 1548373087
Nadine P. Fenderson is a Clinical in South Portland, Maine. Nadine P. Fenderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nadine P. Fenderson is 1548373087. The last update date is 2012-09-21.
Nadine P. Fenderson's current location address is 78 Atlantic Pl, South Portland, Maine. You can contact this provider via phone number 2078427701 and fax number 2078427773. The mailing address for Nadine P. Fenderson is 78 Atlantic Pl, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nadine P. Fenderson |
|---|---|
| Address | 78 Atlantic Pl, South Portland, Maine |
| Phone Number | 2078427701 |
| Fax Number | 2078427773 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1548373087 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2012-09-21 |
Provider Mailing Address Detail
| Address | 78 Atlantic Pl |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062316 |
| Phone Number | 2078427701 |
| Fax Number | 2078427773 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC11746 |
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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 |
|---|---|---|---|
| 432293599 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nadine P. Fenderson by the Centers for Medicare & Medicaid Services?
The Nadine P. Fenderson has been assigned the NPI (National Provider Identifier) 1548373087. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Nadine P. Fenderson is located?
The Nadine P. Fenderson is situated at the following address: 78 Atlantic Pl, South Portland, ME, 41062316.
What is Nadine P. Fenderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nadine P. Fenderson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548373087 to Nadine P. Fenderson?
The Centers for Medicare & Medicaid Services assigned the 1548373087 to Nadine P. Fenderson on 2006-08-17.
When was the information related to Nadine P. Fenderson most recently updated or refreshed?
The details pertaining to the Nadine P. Fenderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-21.