Shantanette Patrice is a School in Roxbury, Massachusetts. Shantanette Patrice practices all healthcare services and medical treatments related to School. The NPI Number for Shantanette Patrice is 1649319013. The last update date is 2007-07-08.
Shantanette Patrice's current location address is 55 New Dudley St, Roxbury, Massachusetts. You can contact this provider via phone number 6175349940 and fax number 6175349948. The mailing address for Shantanette Patrice is 55 New Dudley St, Roxbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shantanette Patrice |
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Address | 55 New Dudley St, Roxbury, Massachusetts |
Phone Number | 6175349940 |
Fax Number | 6175349948 |
Sole Proprietor | N |
Credentials | MSW |
NPI Number Detail
NPI Number | 1649319013 |
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Provider Enumeration Date | 2007-02-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 55 New Dudley St |
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City | Roxbury |
State | Massachusetts (MA) |
Post Code | 21190 |
Phone Number | 6175349940 |
Fax Number | 6175349948 |
Provider's Primary Taxonomy Detail
Speciality | School |
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Taxonomy | 1041S0200X |
Definition: A social worker who provides services and support to students in school settings. |
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What is the Shantanette Patrice's 1649319013?
The Shantanette Patrice's NPI (National Provider Identifier) Number is 1649319013. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shantanette Patrice's physical address?
The Shantanette Patrice is physically located at 55 New Dudley St, in the city of Roxbury, MA, with the postal code 21190.
What is Shantanette Patrice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shantanette Patrice's specialized field of practice is School, and the corresponding taxonomy code that categorizes this area of specialization is 1041S0200X.
On what date did the Shantanette Patrice receive its 1649319013 assignment from the Centers for Medicare & Medicaid Services?
The Shantanette Patrice was assigned its 1649319013 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details pertaining to Shantanette Patrice last refreshed?
The information related to the Shantanette Patrice, including its address, specialty, and other relevant details, was last updated on 2007-07-08.