Maranda Anne Stachyra in Mt. Vernon - Clinical
Maranda Anne Stachyra - NPI 1831392570
Maranda Anne Stachyra is a Clinical in Mt. Vernon, Illinois. Maranda Anne Stachyra practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maranda Anne Stachyra is 1831392570. The last update date is 2019-05-07.
Maranda Anne Stachyra's current location address is 3600 South Water Tower Place, Mt. Vernon, Illinois. You can contact this provider via phone number 6182440212 and fax number 6182440535. The mailing address for Maranda Anne Stachyra is 3600 South Water Tower Place, Mt. Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maranda Anne Stachyra |
|---|---|
| Address | 3600 South Water Tower Place, Mt. Vernon, Illinois |
| Phone Number | 6182440212 |
| Fax Number | 6182440535 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1831392570 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
| Address | 3600 South Water Tower Place |
|---|---|
| City | Mt. Vernon |
| State | Illinois (IL) |
| Post Code | 62864 |
| Phone Number | 6182440212 |
| Fax Number | 6182440535 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.01048 |
|
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 |
|---|---|---|---|
| 149.01048 | IL | PROFESSIONAL LICENSE |
Post Comment/ Review Below
What is the Maranda Anne Stachyra's unique identification number?
The Maranda Anne Stachyra has been assigned the NPI (National Provider Identifier) Number 1831392570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Maranda Anne Stachyra is geographically located?
The Maranda Anne Stachyra is physically situated at the following location: 3600 South Water Tower Place, Mt. Vernon, IL, 62864.
What is Maranda Anne Stachyra's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maranda Anne Stachyra's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Maranda Anne Stachyra receive its 1831392570?
The Maranda Anne Stachyra was issued its 1831392570 on 2007-06-08, which is the date when the organization was assigned this unique identifier.
When was the information regarding Maranda Anne Stachyra most recently updated?
The details pertaining to the Maranda Anne Stachyra, including its address, specialty, and other relevant information, were last refreshed on 2019-05-07.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH
NPI Number: 1528061124
Address: 2800 Willow Grove Rd, Manhattan, KS
NPI Number: 1285637884
Address: 1502 E Centennial Dr, Pittsburg, KS
NPI Number: 1336142702
Address: 1881 Telegraph Rd, Rising Sun, MD