Mary A Larocque is a Clinical in Fort Wayne, Indiana. Mary A Larocque practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary A Larocque is 1851309876. The last update date is 2022-09-19.
Mary A Larocque's current location address is 7311a W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604718033 and fax number 2604718107. The mailing address for Mary A Larocque is 7311a W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Larocque |
|---|---|
| Address | 7311a W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604718033 |
| Fax Number | 2604718107 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1851309876 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2022-09-19 |
Provider Mailing Address Detail
| Address | 7311a W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046237 |
| Phone Number | 2604718033 |
| Fax Number | 2604718107 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001252A |
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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 |
|---|---|---|---|
| 200800080 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary A Larocque by the Centers for Medicare & Medicaid Services?
The Mary A Larocque has been assigned the NPI (National Provider Identifier) 1851309876. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary A Larocque is geographically located?
The Mary A Larocque is physically situated at the following location: 7311A W Jefferson Blvd, Fort Wayne, IN, 468046237.
What is the Mary A Larocque's area of specialization and corresponding taxonomy classification?
The Mary A Larocque's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Mary A Larocque's 1851309876 issued?
The Mary A Larocque's 1851309876 was issued on 2006-08-04.
As of what date was the information pertaining to Mary A Larocque, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary A Larocque, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-19.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN