Mary Fran Brandenberger in South Bend - Clinical
Mary Fran Brandenberger - NPI 1972679991
Mary Fran Brandenberger is a Clinical in South Bend, Indiana. Mary Fran Brandenberger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Fran Brandenberger is 1972679991. The last update date is 2007-07-08.
Mary Fran Brandenberger's current location address is 300 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5742460034 and fax number 5742469794. The mailing address for Mary Fran Brandenberger is 300 N Michigan St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Fran Brandenberger |
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Address | 300 N Michigan St, South Bend, Indiana |
Phone Number | 5742460034 |
Fax Number | 5742469794 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1972679991 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 300 N Michigan St |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466011295 |
Phone Number | 5742460034 |
Fax Number | 5742469794 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 34002478A |
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 unique 10-digit identifier code issued to Mary Fran Brandenberger by the Centers for Medicare & Medicaid Services?
The Mary Fran Brandenberger has been assigned the NPI (National Provider Identifier) 1972679991 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Fran Brandenberger is geographically located?
The Mary Fran Brandenberger is physically situated at the following location: 300 N Michigan St, South Bend, IN, 466011295.
What is the Mary Fran Brandenberger's area of specialization and corresponding taxonomy classification?
The Mary Fran Brandenberger's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1972679991 to Mary Fran Brandenberger?
The Mary Fran Brandenberger received its 1972679991 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Mary Fran Brandenberger most recently updated or revised?
The information pertaining to Mary Fran Brandenberger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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