Marilyn K Kostry in Moreno Valley - Clinical
Marilyn K Kostry - NPI 1437377033
Marilyn K Kostry is a Clinical in Moreno Valley, California. Marilyn K Kostry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilyn K Kostry is 1437377033. The last update date is 2007-07-08.
Marilyn K Kostry's current location address is 24655 Wisteria Ln, Moreno Valley, California. You can contact this provider via phone number 9512427484. The mailing address for Marilyn K Kostry is 24655 Wisteria Ln, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn K Kostry |
|---|---|
| Address | 24655 Wisteria Ln, Moreno Valley, California |
| Phone Number | 9512427484 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1437377033 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24655 Wisteria Ln |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925574106 |
| Phone Number | 9512427484 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS19684 |
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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 Marilyn K Kostry by the Centers for Medicare & Medicaid Services?
The Marilyn K Kostry has been assigned the NPI (National Provider Identifier) 1437377033. 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 Marilyn K Kostry?
The Marilyn K Kostry is situated at 24655 Wisteria Ln, in the city of Moreno Valley, state of CA, with the zip code 925574106.
What is Marilyn K Kostry's area of expertise and its corresponding taxonomy classification?
The Marilyn K Kostry's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437377033 to Marilyn K Kostry?
The Centers for Medicare & Medicaid Services originally issued the 1437377033 to Marilyn K Kostry on 2007-04-22.
As of what date were the details related to Marilyn K Kostry most recently updated or revised?
The information pertaining to Marilyn K Kostry, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN