Mark Richard Dearing in Jacksonville - Clinical
Mark Richard Dearing - NPI 1013069137
Mark Richard Dearing is a Clinical in Jacksonville, Florida. Mark Richard Dearing practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Richard Dearing is 1013069137. The last update date is 2020-02-16.
Mark Richard Dearing's current location address is 1703 Mossy Cypress Ln, Jacksonville, Florida. You can contact this provider via phone number 9044775678. The mailing address for Mark Richard Dearing is 1703 Mossy Cypress Ln, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Dearing |
|---|---|
| Address | 1703 Mossy Cypress Ln, Jacksonville, Florida |
| Phone Number | 9044775678 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013069137 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-02-16 |
Provider Mailing Address Detail
| Address | 1703 Mossy Cypress Ln |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322235023 |
| Phone Number | 9044775678 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW0000953 |
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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 identification code issued to Mark Richard Dearing by the Centers for Medicare & Medicaid Services?
The Mark Richard Dearing has been assigned the NPI (National Provider Identifier) 1013069137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark Richard Dearing is physically located?
The Mark Richard Dearing is physically situated at the following address: 1703 Mossy Cypress Ln, Jacksonville, FL, 322235023.
What is Mark Richard Dearing's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Richard Dearing's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1013069137 assigned to Mark Richard Dearing?
The Mark Richard Dearing was issued its 1013069137 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Richard Dearing most recently updated or refreshed?
The details pertaining to the Mark Richard Dearing, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-16.
NPI Number: 1982607784
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