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Get Ma Community Healthlink Credentialing Profile Form 2011-2024

He following that are applicable: A copy of all valid licenses A copy of your highest degree A copy of any applications or letters of acceptance from the Managed Care panels A copy of your resume or curriculum vitae Medicare Number National Provider Identification (NPI) number. Child and Adolescent Needs and Strengths Assessment (CANS) certificate number If you are a licensed social worker (LCSW, LICSW), a licensed psychologist, or an advanced practice nurse (RNCS).

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