Tara Consolino is a Clinical in Detroit, Michigan. Tara Consolino practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tara Consolino is 1891959375. The last update date is 2013-03-05.
Tara Consolino's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000. The mailing address for Tara Consolino is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tara Consolino |
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Address | 4646 John R St, Detroit, Michigan |
Phone Number | 3135761000 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW, LMSW, |
NPI Number Detail
NPI Number | 1891959375 |
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Provider Enumeration Date | 2008-07-15 |
Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
Address | 4646 John R St |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482011916 |
Phone Number | 3135761000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801085670 |
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 identification code assigned to Tara Consolino by the Centers for Medicare & Medicaid Services?
The Tara Consolino has been issued the NPI (National Provider Identifier) 1891959375. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tara Consolino?
The Tara Consolino is physically situated at 4646 John R St, in the city of Detroit, state of MI, with the postal code 482011916.
What is Tara Consolino's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara Consolino is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Tara Consolino receive its 1891959375 assignment from the Centers for Medicare & Medicaid Services?
The Tara Consolino was assigned its 1891959375 by the Centers for Medicare & Medicaid Services on 2008-07-15.
As of what date was the information pertaining to Tara Consolino, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tara Consolino, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-05.
NPI Number: 1902809924
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