Mary Suzanne Wolfenbarger in O Fallon - Clinical

Mary Suzanne Wolfenbarger - NPI 1962558114

Mary Suzanne Wolfenbarger is a Clinical in O Fallon, Illinois. Mary Suzanne Wolfenbarger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Suzanne Wolfenbarger is 1962558114. The last update date is 2007-07-08.

Mary Suzanne Wolfenbarger's current location address is 822 W State St, O Fallon, Illinois. You can contact this provider via phone number 6186329660. The mailing address for Mary Suzanne Wolfenbarger is 822 W State St, O Fallon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Suzanne Wolfenbarger
Address 822 W State St, O Fallon, Illinois
Phone Number 6186329660
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1962558114
Provider Enumeration Date 2007-01-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 822 W State St
City O Fallon
State Illinois (IL)
Post Code 622691808
Phone Number 6186329660
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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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FAQs about Mary Suzanne Wolfenbarger

What is the Mary Suzanne Wolfenbarger's 1962558114?

The Mary Suzanne Wolfenbarger's NPI (National Provider Identifier) Number is 1962558114. 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 address where Mary Suzanne Wolfenbarger is geographically located?

The Mary Suzanne Wolfenbarger is physically situated at the following location: 822 W State St, O Fallon, IL, 622691808.

What is the area of specialization for Mary Suzanne Wolfenbarger, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Suzanne Wolfenbarger is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Mary Suzanne Wolfenbarger receive its 1962558114 assignment from the Centers for Medicare & Medicaid Services?

The Mary Suzanne Wolfenbarger was assigned its 1962558114 by the Centers for Medicare & Medicaid Services on 2007-01-28.

When was the information related to Mary Suzanne Wolfenbarger most recently updated or refreshed?

The details pertaining to the Mary Suzanne Wolfenbarger, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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