Geraldine Mack is a Clinical in Shreveport, Louisiana. Geraldine Mack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Geraldine Mack is 1346447315. The last update date is 2007-07-08.
Geraldine Mack's current location address is 1625 David Raines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3184252252 and fax number 3182273357. The mailing address for Geraldine Mack is 1625 David Raines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geraldine Mack |
|---|---|
| Address | 1625 David Raines Rd, Shreveport, Louisiana |
| Phone Number | 3184252252 |
| Fax Number | 3182273357 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346447315 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1625 David Raines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711075899 |
| Phone Number | 3184252252 |
| Fax Number | 3182273357 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3681 |
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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 |
|---|---|---|---|
| MFT 852 | LA | LICENSED MARRIAGE AND FAM | |
| 3681 | LA | LIC CLINICAL SOCIAL WORKE | |
| 3681 | LA | STATE BOARD LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Geraldine Mack by the Centers for Medicare & Medicaid Services?
The Geraldine Mack has been assigned the NPI (National Provider Identifier) 1346447315 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Geraldine Mack's facilities are geographically located?
The facilities of Geraldine Mack are physically situated at the following location: 1625 David Raines Rd, Shreveport, LA, 711075899.
What is Geraldine Mack's area of expertise and its corresponding taxonomy classification?
The Geraldine Mack's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1346447315 assigned to Geraldine Mack?
The Geraldine Mack was issued its 1346447315 on 2007-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Geraldine Mack most recently updated or refreshed?
The details pertaining to the Geraldine Mack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.