Mary Ellen Smith in Oakland - Clinical

Mary Ellen Smith - NPI 1730243619

Mary Ellen Smith is a Clinical in Oakland, California. Mary Ellen Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ellen Smith is 1730243619. The last update date is 2007-07-08.

Mary Ellen Smith's current location address is 3800 Coolidge Ave, Oakland, California. You can contact this provider via phone number 5104822244. The mailing address for Mary Ellen Smith is 3800 Coolidge Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ellen Smith
Address 3800 Coolidge Ave, Oakland, California
Phone Number 5104822244
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1730243619
Provider Enumeration Date 2006-12-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3800 Coolidge Ave
City Oakland
State California (CA)
Post Code 946023311
Phone Number 5104822244
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS18596
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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FAQs about Mary Ellen Smith

What is the unique identifier code issued to Mary Ellen Smith by the Centers for Medicare & Medicaid Services?

The Mary Ellen Smith has been assigned the NPI (National Provider Identifier) 1730243619. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mary Ellen Smith is physically located?

The Mary Ellen Smith is situated at the following address: 3800 Coolidge Ave, Oakland, CA 946023311.

What is Mary Ellen Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Ellen Smith's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When did the Mary Ellen Smith receive its 1730243619?

The Mary Ellen Smith was issued its 1730243619 on 2006-12-21, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Mary Ellen Smith most recently updated or revised?

The information pertaining to Mary Ellen Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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