Main Street Mobile Treatment Associates Inc in Reisterstown - Clinical
Main Street Mobile Treatment Associates Inc - NPI 1134139637
Main Street Mobile Treatment Associates Inc is a Clinical in Reisterstown, Maryland. Main Street Mobile Treatment Associates Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Main Street Mobile Treatment Associates Inc is 1134139637. The last update date is 2019-02-28.
Main Street Mobile Treatment Associates Inc's current location address is 37 Main St, Reisterstown, Maryland. You can contact this provider via phone number 4105267882 and fax number 4105269855. The mailing address for Main Street Mobile Treatment Associates Inc is 37 Main St, Reisterstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Mobile Treatment Associates Inc |
|---|---|
| Address | 37 Main St, Reisterstown, Maryland |
| Phone Number | 4105267882 |
| Fax Number | 4105269855 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE COO |
|---|---|
| Authorized Official Name | Ryan J Nicole |
| Credentials | PSYD |
| Telephone Number | 4105267882 |
NPI Number Detail
| NPI Number | 1134139637 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2019-02-28 |
Provider Mailing Address Detail
| Address | 37 Main St |
|---|---|
| City | Reisterstown |
| State | Maryland (MD) |
| Post Code | 211361236 |
| Phone Number | 4105267882 |
| Fax Number | 4105269855 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 404353700 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Main Street Mobile Treatment Associates Inc?
The Main Street Mobile Treatment Associates Inc has been issued the NPI (National Provider Identifier) 1134139637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Main Street Mobile Treatment Associates Inc's facilities are geographically located?
The facilities of Main Street Mobile Treatment Associates Inc are physically situated at the following location: 37 Main St, Reisterstown, MD, 211361236.
What is Main Street Mobile Treatment Associates Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Main Street Mobile Treatment Associates Inc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1134139637 assigned to Main Street Mobile Treatment Associates Inc?
The Main Street Mobile Treatment Associates Inc was issued its 1134139637 on 2006-08-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Main Street Mobile Treatment Associates Inc last refreshed?
The information related to the Main Street Mobile Treatment Associates Inc, including its address, specialty, and other relevant details, was last updated on 2019-02-28.