Mary Mulligan is a Clinical in Felton, California. Mary Mulligan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Mulligan is 1194922773. The last update date is 2007-07-08.
Mary Mulligan's current location address is 182 Russell Ave, Felton, California. You can contact this provider via phone number 8313359390. The mailing address for Mary Mulligan is 182 Russell Ave, Felton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Mulligan |
|---|---|
| Address | 182 Russell Ave, Felton, California |
| Phone Number | 8313359390 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1194922773 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 182 Russell Ave |
|---|---|
| City | Felton |
| State | California (CA) |
| Post Code | 950189126 |
| Phone Number | 8313359390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS11682 |
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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 Mary Mulligan by the Centers for Medicare & Medicaid Services?
The Mary Mulligan has been issued the NPI (National Provider Identifier) 1194922773. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Mulligan located?
The Mary Mulligan is located at 182 Russell Ave, Felton, CA 950189126.
What is the Mary Mulligan's specialty and taxonomy code?
The Mary Mulligan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Mary Mulligan receive its 1194922773 assignment?
The Mary Mulligan was assigned its 1194922773 on 2007-06-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mary Mulligan most recently updated?
The details pertaining to the Mary Mulligan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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