Mary Ray Mazaka is a Clinical in Malden, Massachusetts. Mary Ray Mazaka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ray Mazaka is 1003024597. The last update date is 2007-07-08.
Mary Ray Mazaka's current location address is 118 E Border Rd, Malden, Massachusetts. You can contact this provider via phone number 7813245821. The mailing address for Mary Ray Mazaka is 118 E Border Rd, Malden, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ray Mazaka |
|---|---|
| Address | 118 E Border Rd, Malden, Massachusetts |
| Phone Number | 7813245821 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1003024597 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 E Border Rd |
|---|---|
| City | Malden |
| State | Massachusetts (MA) |
| Post Code | 21481134 |
| Phone Number | 7813245821 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 104788 |
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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 Mary Ray Mazaka's 1003024597?
The Mary Ray Mazaka's NPI (National Provider Identifier) Number is 1003024597. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Ray Mazaka located?
The Mary Ray Mazaka is located at 118 E Border Rd, Malden, MA 21481134.
What is Mary Ray Mazaka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Ray Mazaka's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Mary Ray Mazaka receive its 1003024597 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ray Mazaka was assigned its 1003024597 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Ray Mazaka most recently updated or refreshed?
The details pertaining to the Mary Ray Mazaka, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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