Mark Jeffery Brenner in Canton - Clinical

Mark Jeffery Brenner - NPI 1386797355

Mark Jeffery Brenner is a Clinical in Canton, Massachusetts. Mark Jeffery Brenner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Jeffery Brenner is 1386797355. The last update date is 2007-07-08.

Mark Jeffery Brenner's current location address is 1 Nathaniel Way, Canton, Massachusetts. You can contact this provider via phone number 7818210708. The mailing address for Mark Jeffery Brenner is 1 Nathaniel Way, Canton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Jeffery Brenner
Address 1 Nathaniel Way, Canton, Massachusetts
Phone Number 7818210708
Fax Number
Sole Proprietor Y
Credentials PH.D., LIC

NPI Number Detail

NPI Number 1386797355
Provider Enumeration Date 2007-01-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Nathaniel Way
City Canton
State Massachusetts (MA)
Post Code 20213852
Phone Number 7818210708
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 104840
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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FAQs about Mark Jeffery Brenner

What is the unique 10-digit identification code issued to Mark Jeffery Brenner by the Centers for Medicare & Medicaid Services?

The Mark Jeffery Brenner has been assigned the NPI (National Provider Identifier) 1386797355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Mark Jeffery Brenner is geographically located?

The Mark Jeffery Brenner is physically situated at the following location: 1 Nathaniel Way, Canton, MA, 20213852.

What is Mark Jeffery Brenner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Jeffery Brenner is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

When was the Mark Jeffery Brenner's 1386797355 issued?

The Mark Jeffery Brenner's 1386797355 was issued on 2007-01-20.

When was the information regarding Mark Jeffery Brenner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Jeffery Brenner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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