Mary Lou Hernandez is a Clinical in Phoenix, Arizona. Mary Lou Hernandez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Lou Hernandez is 1083668388. The last update date is 2008-04-07.
Mary Lou Hernandez's current location address is 901 E Willetta St, Phoenix, Arizona. You can contact this provider via phone number 6022396900. The mailing address for Mary Lou Hernandez is 901 E Willetta St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Hernandez |
|---|---|
| Address | 901 E Willetta St, Phoenix, Arizona |
| Phone Number | 6022396900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083668388 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 901 E Willetta St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850062727 |
| Phone Number | 6022396900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 169 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 897134 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Lou Hernandez by the Centers for Medicare & Medicaid Services?
The Mary Lou Hernandez has been assigned the NPI (National Provider Identifier) 1083668388 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mary Lou Hernandez is physically located?
The Mary Lou Hernandez is situated at the following address: 901 E Willetta St, Phoenix, AZ 850062727.
What is Mary Lou Hernandez's area of expertise and its corresponding taxonomy classification?
The Mary Lou Hernandez's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1083668388 to Mary Lou Hernandez?
The Mary Lou Hernandez received its 1083668388 assignment from the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the Mary Lou Hernandez's information last updated?
The Mary Lou Hernandez's information was last updated on 2008-04-07.