Mary Kathleen West is a Clinical in Jasper, Georgia. Mary Kathleen West practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Kathleen West is 1134193741. The last update date is 2022-10-17.
Mary Kathleen West's current location address is 201 Cove Rd, Jasper, Georgia. You can contact this provider via phone number 7062539515 and fax number 7062539516. The mailing address for Mary Kathleen West is 201 Cove Rd, Jasper, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathleen West |
|---|---|
| Address | 201 Cove Rd, Jasper, Georgia |
| Phone Number | 7062539515 |
| Fax Number | 7062539516 |
| Sole Proprietor | Y |
| Credentials | LCSW, INC |
NPI Number Detail
| NPI Number | 1134193741 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 201 Cove Rd |
|---|---|
| City | Jasper |
| State | Georgia (GA) |
| Post Code | 301431356 |
| Phone Number | 7062539515 |
| Fax Number | 7062539516 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1362 |
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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 |
|---|---|---|---|
| 939149656A | GA | -- | |
| 065545668A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Kathleen West?
The Mary Kathleen West has been issued the NPI (National Provider Identifier) 1134193741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Kathleen West is located?
The Mary Kathleen West is situated at the following address: 201 Cove Rd, Jasper, GA, 301431356.
What is Mary Kathleen West's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Kathleen West is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Mary Kathleen West receive its 1134193741?
The Mary Kathleen West was issued its 1134193741 on 2006-02-13, which is the date when the organization was assigned this unique identifier.
When was the Mary Kathleen West's information last updated?
The Mary Kathleen West's information was last updated on 2022-10-17.