Tina L Fardella is a Clinical in Lincoln, Nebraska. Tina L Fardella practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina L Fardella is 1376690891. The last update date is 2010-12-20.
Tina L Fardella's current location address is 5600 S 59th St Ste 104, Lincoln, Nebraska. You can contact this provider via phone number 4024840595 and fax number 4024840595. The mailing address for Tina L Fardella is 5600 S 59th St Ste 104, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina L Fardella |
|---|---|
| Address | 5600 S 59th St Ste 104, Lincoln, Nebraska |
| Phone Number | 4024840595 |
| Fax Number | 4024840595 |
| Sole Proprietor | N |
| Credentials | LMHP LCSW |
NPI Number Detail
| NPI Number | 1376690891 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 5600 S 59th St Ste 104 |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685162387 |
| Phone Number | 4024840595 |
| Fax Number | 4024840595 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1058 |
|
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 |
|---|---|---|---|
| 47084125026 | NE | -- | |
| 82697 | NE | BCBS | |
| 10024982600 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tina L Fardella by the Centers for Medicare & Medicaid Services?
The Tina L Fardella has been issued the NPI (National Provider Identifier) 1376690891 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 Tina L Fardella?
The Tina L Fardella is physically situated at 5600 S 59Th St Ste 104, in the city of Lincoln, state of NE, with the postal code 685162387.
What is Tina L Fardella's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tina L Fardella is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376690891 to Tina L Fardella?
The Tina L Fardella received its 1376690891 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information related to Tina L Fardella most recently updated or refreshed?
The details pertaining to the Tina L Fardella, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-20.
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1760486153
Address: 10204 Granger Rd, Garfield Heights, OH
NPI Number: 1427054410
Address: 5700 Williamsburg Landing Dr, Williamsburg, VA
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE