Patricia Waterman in South Burlington - Clinical

Patricia Waterman - NPI 1629129002

Patricia Waterman is a Clinical in South Burlington, Vermont. Patricia Waterman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Waterman is 1629129002. The last update date is 2007-07-09.

Patricia Waterman's current location address is 69 Joy Dr Apt A1, South Burlington, Vermont. You can contact this provider via phone number 8029222651. The mailing address for Patricia Waterman is 69 Joy Dr Apt A1, South Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Waterman
Address 69 Joy Dr Apt A1, South Burlington, Vermont
Phone Number 8029222651
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1629129002
Provider Enumeration Date 2007-01-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 69 Joy Dr Apt A1
City South Burlington
State Vermont (VT)
Post Code 54036120
Phone Number 8029222651
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 089-0000589
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
1007335 VT --

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FAQs about Patricia Waterman

What is the unique 10-digit identification code assigned to Patricia Waterman by the Centers for Medicare & Medicaid Services?

The Patricia Waterman has been issued the NPI (National Provider Identifier) 1629129002, which 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 Patricia Waterman?

The Patricia Waterman is physically situated at 69 Joy Dr Apt A1, in the city of South Burlington, state of VT, with the postal code 54036120.

What is the Patricia Waterman's area of specialization and corresponding taxonomy classification?

The Patricia Waterman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629129002 to Patricia Waterman?

The Centers for Medicare & Medicaid Services originally issued the 1629129002 to Patricia Waterman on 2007-01-14.

As of what date was the information pertaining to Patricia Waterman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patricia Waterman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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