Karyn A Mackenzie Fajar in Peoria - Clinical
Karyn A Mackenzie Fajar - NPI 1154445062
Karyn A Mackenzie Fajar is a Clinical in Peoria, Arizona. Karyn A Mackenzie Fajar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karyn A Mackenzie Fajar is 1154445062. The last update date is 2022-03-06.
Karyn A Mackenzie Fajar's current location address is 8617 W Union Hills Dr, Peoria, Arizona. You can contact this provider via phone number 6239743333 and fax number 6239743390. The mailing address for Karyn A Mackenzie Fajar is 8617 W Union Hills Dr, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karyn A Mackenzie Fajar |
|---|---|
| Address | 8617 W Union Hills Dr, Peoria, Arizona |
| Phone Number | 6239743333 |
| Fax Number | 6239743390 |
| Sole Proprietor | Y |
| Credentials | LCSW, LICS |
NPI Number Detail
| NPI Number | 1154445062 |
|---|---|
| Provider Enumeration Date | 2007-03-17 |
| Last Updated Date | 2022-03-06 |
Provider Mailing Address Detail
| Address | 8617 W Union Hills Dr |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853827001 |
| Phone Number | 6239743333 |
| Fax Number | 6239743390 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-16710 |
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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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What is the unique identification code assigned to Karyn A Mackenzie Fajar by the Centers for Medicare & Medicaid Services?
The Karyn A Mackenzie Fajar has been issued the NPI (National Provider Identifier) 1154445062. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Karyn A Mackenzie Fajar is geographically located?
The Karyn A Mackenzie Fajar is physically situated at the following location: 8617 W Union Hills Dr, Peoria, AZ, 853827001.
What is Karyn A Mackenzie Fajar's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Karyn A Mackenzie Fajar is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Karyn A Mackenzie Fajar receive its 1154445062 assignment from the Centers for Medicare & Medicaid Services?
The Karyn A Mackenzie Fajar was assigned its 1154445062 on 2007-03-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Karyn A Mackenzie Fajar's details last updated?
The information pertaining to the Karyn A Mackenzie Fajar, including its address, specialty, and other details, was most recently updated on 2022-03-06.