Michael John Meehan in St Augustine - Clinical
Michael John Meehan - NPI 1063496453
Michael John Meehan is a Clinical in St Augustine, Florida. Michael John Meehan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael John Meehan is 1063496453. The last update date is 2007-07-08.
Michael John Meehan's current location address is 9 Saint Johns Medical Pk Dr, St Augustine, Florida. You can contact this provider via phone number 9047972705 and fax number 9047972820. The mailing address for Michael John Meehan is 9 Saint Johns Medical Pk Dr, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Meehan |
|---|---|
| Address | 9 Saint Johns Medical Pk Dr, St Augustine, Florida |
| Phone Number | 9047972705 |
| Fax Number | 9047972820 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063496453 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Saint Johns Medical Pk Dr |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320865343 |
| Phone Number | 9047972705 |
| Fax Number | 9047972820 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW1047 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z1577 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Michael John Meehan's 1063496453?
The Michael John Meehan's NPI (National Provider Identifier) Number is 1063496453. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael John Meehan's facilities are situated?
The facilities of Michael John Meehan are physically located at the following address: 9 Saint Johns Medical Pk Dr, St Augustine, FL, 320865343.
What is the area of specialization for Michael John Meehan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael John Meehan is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Michael John Meehan receive its 1063496453 assignment from the Centers for Medicare & Medicaid Services?
The Michael John Meehan was assigned its 1063496453 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michael John Meehan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael John Meehan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.