Mary Anne Campbell in New London - Clinical
Mary Anne Campbell - NPI 1457453110
Mary Anne Campbell is a Clinical in New London, Connecticut. Mary Anne Campbell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Anne Campbell is 1457453110. The last update date is 2016-02-24.
Mary Anne Campbell's current location address is 21 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8602714700 and fax number 8602714797. The mailing address for Mary Anne Campbell is 21 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Anne Campbell |
|---|---|
| Address | 21 Montauk Ave, New London, Connecticut |
| Phone Number | 8602714700 |
| Fax Number | 8602714797 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1457453110 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2016-02-24 |
Provider Mailing Address Detail
| Address | 21 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204906 |
| Phone Number | 8602714700 |
| Fax Number | 8602714797 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3949 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61363844 | CT | TAX ID | |
| 140889 | CT | VALUE OPTIONS | |
| 4254976 | CT | CTBP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Anne Campbell by the Centers for Medicare & Medicaid Services?
The Mary Anne Campbell has been assigned the NPI (National Provider Identifier) 1457453110 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Anne Campbell is located?
The Mary Anne Campbell is situated at the following address: 21 Montauk Ave, New London, CT, 63204906.
What is the Mary Anne Campbell's area of specialization and corresponding taxonomy classification?
The Mary Anne Campbell's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Mary Anne Campbell receive its 1457453110 assignment from the Centers for Medicare & Medicaid Services?
The Mary Anne Campbell was assigned its 1457453110 by the Centers for Medicare & Medicaid Services on 2006-09-02.
When was the Mary Anne Campbell's information last updated?
The Mary Anne Campbell's information was last updated on 2016-02-24.