Mary Amedeo is a Clinical in San Luis Obispo, California. Mary Amedeo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Amedeo is 1124183637. The last update date is 2016-11-30.
Mary Amedeo's current location address is 861 Skyline Dr, San Luis Obispo, California. You can contact this provider via phone number 8052340948 and fax number 8447400060. The mailing address for Mary Amedeo is 861 Skyline Dr, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Amedeo |
|---|---|
| Address | 861 Skyline Dr, San Luis Obispo, California |
| Phone Number | 8052340948 |
| Fax Number | 8447400060 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1124183637 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2016-11-30 |
Provider Mailing Address Detail
| Address | 861 Skyline Dr |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934051039 |
| Phone Number | 8052340948 |
| Fax Number | 8447400060 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 212 |
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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 assigned to Mary Amedeo by the Centers for Medicare & Medicaid Services?
The Mary Amedeo has been issued the NPI (National Provider Identifier) 1124183637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary Amedeo's physical address?
The Mary Amedeo is physically located at 861 Skyline Dr, in the city of San Luis Obispo, CA, with the postal code 934051039.
What is the Mary Amedeo's specialty and taxonomy code?
The Mary Amedeo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Mary Amedeo's 1124183637 issued?
The Mary Amedeo's 1124183637 was issued on 2006-12-26.
As of what date were the Mary Amedeo's details last updated?
The information pertaining to the Mary Amedeo, including its address, specialty, and other details, was most recently updated on 2016-11-30.
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