Mary Linda Davis is a Clinical in Little Rock, Arkansas. Mary Linda Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Linda Davis is 1154343499. The last update date is 2021-06-12.
Mary Linda Davis's current location address is 1301 Wilson Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012250576 and fax number 5012256789. The mailing address for Mary Linda Davis is 1301 Wilson Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Linda Davis |
|---|---|
| Address | 1301 Wilson Rd, Little Rock, Arkansas |
| Phone Number | 5012250576 |
| Fax Number | 5012256789 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154343499 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2021-06-12 |
Provider Mailing Address Detail
| Address | 1301 Wilson Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722056659 |
| Phone Number | 5012250576 |
| Fax Number | 5012256789 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 764-C |
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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 |
|---|---|---|---|
| 211768 | VALUE OPTIONS | ||
| 278210000 | MAGELLAN | ||
| 93594 | MHN | ||
| 1054808 | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Linda Davis by the Centers for Medicare & Medicaid Services?
The Mary Linda Davis has been assigned the NPI (National Provider Identifier) 1154343499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mary Linda Davis is located?
The Mary Linda Davis is situated at the following address: 1301 Wilson Rd, Little Rock, AR, 722056659.
What is the Mary Linda Davis's specialty and taxonomy code?
The Mary Linda Davis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Mary Linda Davis receive its 1154343499 assignment from the Centers for Medicare & Medicaid Services?
The Mary Linda Davis was assigned its 1154343499 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Linda Davis most recently updated or revised?
The details related to Mary Linda Davis, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-12.