Tana V Randall in South Burlington - Clinical
Tana V Randall - NPI 1518074921
Tana V Randall is a Clinical in South Burlington, Vermont. Tana V Randall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tana V Randall is 1518074921. The last update date is 2007-07-08.
Tana V Randall's current location address is 56 W Twin Oaks Ter, South Burlington, Vermont. You can contact this provider via phone number 8028473333 and fax number 8028471424. The mailing address for Tana V Randall is 56 W Twin Oaks Ter, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tana V Randall |
|---|---|
| Address | 56 W Twin Oaks Ter, South Burlington, Vermont |
| Phone Number | 8028473333 |
| Fax Number | 8028471424 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1518074921 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 56 W Twin Oaks Ter |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037106 |
| Phone Number | 8028473333 |
| Fax Number | 8028471424 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0000997 |
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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 |
|---|---|---|---|
| 1011510 | VT | -- |
Post Comment/ Review Below
What is the Tana V Randall's 1518074921?
The Tana V Randall's NPI (National Provider Identifier) Number is 1518074921. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tana V Randall?
The Tana V Randall is physically situated at 56 W Twin Oaks Ter, in the city of South Burlington, state of VT, with the postal code 54037106.
What is Tana V Randall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tana V Randall is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Tana V Randall receive its 1518074921 assignment from the Centers for Medicare & Medicaid Services?
The Tana V Randall was assigned its 1518074921 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date were the Tana V Randall's details last updated?
The information pertaining to the Tana V Randall, including its address, specialty, and other details, was most recently updated on 2007-07-08.