Mary Jean Fair is a Social Worker in Kingsport, Tennessee. Mary Jean Fair practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Mary Jean Fair is 1265496400. The last update date is 2007-07-08.
Mary Jean Fair's current location address is 555 E Main Street, Kingsport, Tennessee. You can contact this provider via phone number 4232451355. The mailing address for Mary Jean Fair is 555 E Main Street, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jean Fair |
|---|---|
| Address | 555 E Main Street, Kingsport, Tennessee |
| Phone Number | 4232451355 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265496400 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 E Main Street |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376604850 |
| Phone Number | 4232451355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | LSW000000044 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7248099 | TN | AETNA | |
| 424652 | TN | VALUE OPTION | |
| 141916XX | TN | PREFERRED CARE | |
| 3032073 | TN | BLUE CROSS BLUE SHIELD | |
| 11510986 | TN | CAQU | |
| 3691161 | TN | -- | |
| NH031 | NY | EMPIRE BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Jean Fair by the Centers for Medicare & Medicaid Services?
The Mary Jean Fair has been assigned the NPI (National Provider Identifier) 1265496400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mary Jean Fair's facilities are geographically located?
The facilities of Mary Jean Fair are physically situated at the following location: 555 E Main Street, Kingsport, TN, 376604850.
What is Mary Jean Fair's area of expertise and its corresponding taxonomy classification?
The Mary Jean Fair's field of specialization is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their areas of practice.
When was the Mary Jean Fair's 1265496400 issued?
The Mary Jean Fair's 1265496400 was issued on 2006-04-14.
As of what date were the details related to Mary Jean Fair most recently updated or revised?
The information pertaining to Mary Jean Fair, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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