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NPI Code Detail

MEDICARE: MS. MARIA CARMEN CASTILLO MSW

MEDICARE: MS. MARIA CARMEN CASTILLO MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker002629CT
21041C0700XClinical Social WorkerQ1-0001532DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Q1-0001532OTHERDELCSW

General Provider Information

NPI Number : 1790892701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA CARMEN CASTILLO MSW
Provider Business Mailing Address
First Line : 6527 MAIN STREET
Second Line :
City : TRUMBULL
State : CT
Zip : 06611
Country : US
Telephone Number : 203-445-8966
Fax Number : 203-261-3492
Provider Business Practice Location Address
First Line : 21444 CARMEAN WAY
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-4572
Country : US
Telephone Number : 302-855-1233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 03/17/2018

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