Eileen Marie Reardon in Rutland - Clinical
Eileen Marie Reardon - NPI 1871661520
Eileen Marie Reardon is a Clinical in Rutland, Vermont. Eileen Marie Reardon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eileen Marie Reardon is 1871661520. The last update date is 2015-11-06.
Eileen Marie Reardon's current location address is 2 S Main St, Rutland, Vermont. You can contact this provider via phone number 8027733533 and fax number 8027733533. The mailing address for Eileen Marie Reardon is 2 S Main St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Marie Reardon |
|---|---|
| Address | 2 S Main St, Rutland, Vermont |
| Phone Number | 8027733533 |
| Fax Number | 8027733533 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1871661520 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2015-11-06 |
Provider Mailing Address Detail
| Address | 2 S Main St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014161 |
| Phone Number | 8027733533 |
| Fax Number | 8027733533 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000505 |
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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 |
|---|---|---|---|
| 69614 | VT | BLUE CROSS BLUE SHIELD OF | |
| 4151133 | VT | MVP HEALTH CARE | |
| 1012957 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eileen Marie Reardon by the Centers for Medicare & Medicaid Services?
The Eileen Marie Reardon has been assigned the NPI (National Provider Identifier) 1871661520. 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 Eileen Marie Reardon is located?
The Eileen Marie Reardon is situated at the following address: 2 S Main St, Rutland, VT, 57014161.
What is Eileen Marie Reardon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eileen Marie Reardon is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Eileen Marie Reardon receive the assignment of its 1871661520 from the Centers for Medicare & Medicaid Services?
The Eileen Marie Reardon was issued its 1871661520 by the Centers for Medicare & Medicaid Services on 2006-12-01.
When was the Eileen Marie Reardon's information last updated?
The Eileen Marie Reardon's information was last updated on 2015-11-06.
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