Marybeth Bronson in Jamaica Plain - Clinical
Marybeth Bronson - NPI 1063507150
Marybeth Bronson is a Clinical in Jamaica Plain, Massachusetts. Marybeth Bronson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marybeth Bronson is 1063507150. The last update date is 2007-07-08.
Marybeth Bronson's current location address is 28 Everett St # 1, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179839844. The mailing address for Marybeth Bronson is 28 Everett St # 1, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marybeth Bronson |
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Address | 28 Everett St # 1, Jamaica Plain, Massachusetts |
Phone Number | 6179839844 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW LICS |
NPI Number Detail
NPI Number | 1063507150 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 28 Everett St # 1 |
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City | Jamaica Plain |
State | Massachusetts (MA) |
Post Code | 21302858 |
Phone Number | 6179839844 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 101997 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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P03236 | MA | BX/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marybeth Bronson by the Centers for Medicare & Medicaid Services?
The Marybeth Bronson has been issued the NPI (National Provider Identifier) 1063507150, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marybeth Bronson is physically located?
The Marybeth Bronson is situated at the following address: 28 Everett St # 1, Jamaica Plain, MA 21302858.
What is Marybeth Bronson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marybeth Bronson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Marybeth Bronson receive its 1063507150 assignment?
The Marybeth Bronson was assigned its 1063507150 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Marybeth Bronson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marybeth Bronson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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