Martha M Mcinerney is a Clinical in Burbank, Illinois. Martha M Mcinerney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha M Mcinerney is 1023177847. The last update date is 2007-07-08.
Martha M Mcinerney's current location address is 5635 State Rd, Burbank, Illinois. You can contact this provider via phone number 7084249200. The mailing address for Martha M Mcinerney is 5635 State Rd, Burbank, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha M Mcinerney |
|---|---|
| Address | 5635 State Rd, Burbank, Illinois |
| Phone Number | 7084249200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1023177847 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5635 State Rd |
|---|---|
| City | Burbank |
| State | Illinois (IL) |
| Post Code | 604592051 |
| Phone Number | 7084249200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 Martha M Mcinerney's 1023177847?
The Martha M Mcinerney's NPI (National Provider Identifier) Number is 1023177847. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Martha M Mcinerney's physical address?
The Martha M Mcinerney is physically located at 5635 State Rd, in the city of Burbank, IL, with the postal code 604592051.
What is the Martha M Mcinerney's specialty and taxonomy code?
The Martha M Mcinerney's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Martha M Mcinerney receive its 1023177847 assignment from the Centers for Medicare & Medicaid Services?
The Martha M Mcinerney was assigned its 1023177847 by the Centers for Medicare & Medicaid Services on 2006-12-07.
As of what date were the details related to Martha M Mcinerney most recently updated or revised?
The information pertaining to Martha M Mcinerney, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.