Sharon Lee Mendenhall in Queen Creek - Clinical
Sharon Lee Mendenhall - NPI 1174718019
Sharon Lee Mendenhall is a Clinical in Queen Creek, Arizona. Sharon Lee Mendenhall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sharon Lee Mendenhall is 1174718019. The last update date is 2007-09-13.
Sharon Lee Mendenhall's current location address is 301 E Combs Rd, Queen Creek, Arizona. You can contact this provider via phone number 4809875300 and fax number 4809875009. The mailing address for Sharon Lee Mendenhall is 301 E Combs Rd, Queen Creek, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Lee Mendenhall |
|---|---|
| Address | 301 E Combs Rd, Queen Creek, Arizona |
| Phone Number | 4809875300 |
| Fax Number | 4809875009 |
| Sole Proprietor | Y |
| Credentials | LCSW, CCBT |
NPI Number Detail
| NPI Number | 1174718019 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 301 E Combs Rd |
|---|---|
| City | Queen Creek |
| State | Arizona (AZ) |
| Post Code | 852409164 |
| Phone Number | 4809875300 |
| Fax Number | 4809875009 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 11568 |
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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 identifier code issued to Sharon Lee Mendenhall by the Centers for Medicare & Medicaid Services?
The Sharon Lee Mendenhall has been assigned the NPI (National Provider Identifier) 1174718019. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sharon Lee Mendenhall?
The Sharon Lee Mendenhall is situated at 301 E Combs Rd, in the city of Queen Creek, state of AZ, with the zip code 852409164.
What is the Sharon Lee Mendenhall's specialty and taxonomy code?
The Sharon Lee Mendenhall's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Sharon Lee Mendenhall receive its 1174718019 assignment from the Centers for Medicare & Medicaid Services?
The Sharon Lee Mendenhall was assigned its 1174718019 by the Centers for Medicare & Medicaid Services on 2007-09-13.
As of what date were the details pertaining to Sharon Lee Mendenhall last refreshed?
The information related to the Sharon Lee Mendenhall, including its address, specialty, and other relevant details, was last updated on 2007-09-13.