Mary G Henehan is a Clinical in Goshen, Indiana. Mary G Henehan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary G Henehan is 1184673766. The last update date is 2011-08-01.
Mary G Henehan's current location address is 330 Lakeview Dr, Goshen, Indiana. You can contact this provider via phone number 5745331234 and fax number 5745372652. The mailing address for Mary G Henehan is 330 Lakeview Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G Henehan |
|---|---|
| Address | 330 Lakeview Dr, Goshen, Indiana |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184673766 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2011-08-01 |
Provider Mailing Address Detail
| Address | 330 Lakeview Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465289365 |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004155 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Mary G Henehan by the Centers for Medicare & Medicaid Services (CMS)?
The Mary G Henehan has been assigned the NPI (National Provider Identifier) 1184673766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary G Henehan located?
The Mary G Henehan is located at 330 Lakeview Dr, Goshen, IN 465289365.
What is the Mary G Henehan's specialty and taxonomy code?
The Mary G Henehan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184673766 to Mary G Henehan?
The Mary G Henehan received its 1184673766 assignment from the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information regarding Mary G Henehan most recently updated?
The details pertaining to the Mary G Henehan, including its address, specialty, and other relevant information, were last refreshed on 2011-08-01.