Mark Anthony Shields in Fairbanks - Clinical
Mark Anthony Shields - NPI 1811086853
Mark Anthony Shields is a Clinical in Fairbanks, Alaska. Mark Anthony Shields practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Anthony Shields is 1811086853. The last update date is 2007-07-08.
Mark Anthony Shields's current location address is 3504 Industrial Ave, Fairbanks, Alaska. You can contact this provider via phone number 9074524673 and fax number 9074521430. The mailing address for Mark Anthony Shields is 3504 Industrial Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Shields |
|---|---|
| Address | 3504 Industrial Ave, Fairbanks, Alaska |
| Phone Number | 9074524673 |
| Fax Number | 9074521430 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1811086853 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3504 Industrial Ave |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997017376 |
| Phone Number | 9074524673 |
| Fax Number | 9074521430 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 402 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Anthony Shields by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Anthony Shields has been assigned the NPI (National Provider Identifier) 1811086853. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mark Anthony Shields?
The Mark Anthony Shields is physically situated at 3504 Industrial Ave, in the city of Fairbanks, state of AK, with the postal code 997017376.
What is the Mark Anthony Shields's specialty and taxonomy code?
The Mark Anthony Shields's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811086853 to Mark Anthony Shields?
The Centers for Medicare & Medicaid Services assigned the 1811086853 to Mark Anthony Shields on 2006-10-11.
As of what date was the information pertaining to Mark Anthony Shields, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Anthony Shields, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.