Mary Ann Black in Huntington Beach - Clinical
Mary Ann Black - NPI 1861579419
Mary Ann Black is a Clinical in Huntington Beach, California. Mary Ann Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ann Black is 1861579419. The last update date is 2012-03-01.
Mary Ann Black's current location address is 18222 Monterey Lane #214, Huntington Beach, California. You can contact this provider via phone number 7149602626. The mailing address for Mary Ann Black is 18222 Monterey Lane #214, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Black |
|---|---|
| Address | 18222 Monterey Lane #214, Huntington Beach, California |
| Phone Number | 7149602626 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861579419 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2012-03-01 |
Provider Mailing Address Detail
| Address | 18222 Monterey Lane #214 |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926496853 |
| Phone Number | 7149602626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 17704 |
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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 10-digit identifier code issued to Mary Ann Black by the Centers for Medicare & Medicaid Services?
The Mary Ann Black has been assigned the NPI (National Provider Identifier) 1861579419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Ann Black's physical address?
The Mary Ann Black is physically located at 18222 Monterey Lane #214, in the city of Huntington Beach, CA, with the postal code 926496853.
What is Mary Ann Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Ann Black is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861579419 to Mary Ann Black?
The Mary Ann Black received its 1861579419 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information regarding Mary Ann Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Ann Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-01.
NPI Number: 1215930573
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