Susan Carol Maynard in Brookline - Clinical
Susan Carol Maynard - NPI 1376682187
Susan Carol Maynard is a Clinical in Brookline, Massachusetts. Susan Carol Maynard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Carol Maynard is 1376682187. The last update date is 2007-07-08.
Susan Carol Maynard's current location address is 1415 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6176201963. The mailing address for Susan Carol Maynard is 1415 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Carol Maynard |
|---|---|
| Address | 1415 Beacon St, Brookline, Massachusetts |
| Phone Number | 6176201963 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W., L |
NPI Number Detail
| NPI Number | 1376682187 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1415 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24464816 |
| Phone Number | 6176201963 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1017013 |
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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 |
|---|---|---|---|
| P07389 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Susan Carol Maynard's 1376682187?
The Susan Carol Maynard's NPI (National Provider Identifier) Number is 1376682187. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan Carol Maynard is physically located?
The Susan Carol Maynard is situated at the following address: 1415 Beacon St, Brookline, MA 24464816.
What is Susan Carol Maynard's area of expertise and its corresponding taxonomy classification?
The Susan Carol Maynard's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When was the Susan Carol Maynard's 1376682187 issued?
The Susan Carol Maynard's 1376682187 was issued on 2007-02-06.
When was the information related to Susan Carol Maynard most recently updated or refreshed?
The details pertaining to the Susan Carol Maynard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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