Mary Alice Lacy Pardee in Gloucester - Clinical
Mary Alice Lacy Pardee - NPI 1376531525
Mary Alice Lacy Pardee is a Clinical in Gloucester, Massachusetts. Mary Alice Lacy Pardee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Alice Lacy Pardee is 1376531525. The last update date is 2007-07-08.
Mary Alice Lacy Pardee's current location address is 85 Eastern Ave, Gloucester, Massachusetts. You can contact this provider via phone number 9782821136 and fax number 9782821144. The mailing address for Mary Alice Lacy Pardee is 85 Eastern Ave, Gloucester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alice Lacy Pardee |
|---|---|
| Address | 85 Eastern Ave, Gloucester, Massachusetts |
| Phone Number | 9782821136 |
| Fax Number | 9782821144 |
| Sole Proprietor | X |
| Credentials | MSW LICSW |
NPI Number Detail
| NPI Number | 1376531525 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 85 Eastern Ave |
|---|---|
| City | Gloucester |
| State | Massachusetts (MA) |
| Post Code | 19301869 |
| Phone Number | 9782821136 |
| Fax Number | 9782821144 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1019358 |
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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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What is the unique identifier code issued to Mary Alice Lacy Pardee by the Centers for Medicare & Medicaid Services?
The Mary Alice Lacy Pardee has been assigned the NPI (National Provider Identifier) 1376531525. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Alice Lacy Pardee located?
The Mary Alice Lacy Pardee is located at 85 Eastern Ave, Gloucester, MA 19301869.
What is Mary Alice Lacy Pardee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Alice Lacy Pardee is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376531525 to Mary Alice Lacy Pardee?
The Mary Alice Lacy Pardee received its 1376531525 assignment from the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date were the Mary Alice Lacy Pardee's details last updated?
The information pertaining to the Mary Alice Lacy Pardee, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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