Chivonne Marie Mraz in Lewiston - Clinical
Chivonne Marie Mraz - NPI 1235398017
Chivonne Marie Mraz is a Clinical in Lewiston, Idaho. Chivonne Marie Mraz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chivonne Marie Mraz is 1235398017. The last update date is 2015-11-04.
Chivonne Marie Mraz's current location address is 428 6th Ave, Lewiston, Idaho. You can contact this provider via phone number 2087996500 and fax number 2087996504. The mailing address for Chivonne Marie Mraz is 428 6th Ave, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chivonne Marie Mraz |
|---|---|
| Address | 428 6th Ave, Lewiston, Idaho |
| Phone Number | 2087996500 |
| Fax Number | 2087996504 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235398017 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2015-11-04 |
Provider Mailing Address Detail
| Address | 428 6th Ave |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835012355 |
| Phone Number | 2087996500 |
| Fax Number | 2087996504 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-34755 |
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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 identifier code issued to Chivonne Marie Mraz by the Centers for Medicare & Medicaid Services (CMS)?
The Chivonne Marie Mraz has been assigned the NPI (National Provider Identifier) 1235398017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Chivonne Marie Mraz?
The Chivonne Marie Mraz is physically situated at 428 6Th Ave, in the city of Lewiston, state of ID, with the postal code 835012355.
What is Chivonne Marie Mraz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chivonne Marie Mraz's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235398017 to Chivonne Marie Mraz?
The Centers for Medicare & Medicaid Services assigned the 1235398017 to Chivonne Marie Mraz on 2008-06-05.
As of what date were the details pertaining to Chivonne Marie Mraz last refreshed?
The information related to the Chivonne Marie Mraz, including its address, specialty, and other relevant details, was last updated on 2015-11-04.