Mary Ellen Henry in Provincetown - Clinical
Mary Ellen Henry - NPI 1659415396
Mary Ellen Henry is a Clinical in Provincetown, Massachusetts. Mary Ellen Henry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ellen Henry is 1659415396. The last update date is 2007-07-09.
Mary Ellen Henry's current location address is 50 Commercial St, Provincetown, Massachusetts. You can contact this provider via phone number 5084872698. The mailing address for Mary Ellen Henry is 50 Commercial St, Provincetown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Henry |
|---|---|
| Address | 50 Commercial St, Provincetown, Massachusetts |
| Phone Number | 5084872698 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D.,LICS |
NPI Number Detail
| NPI Number | 1659415396 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 50 Commercial St |
|---|---|
| City | Provincetown |
| State | Massachusetts (MA) |
| Post Code | 26571912 |
| Phone Number | 5084872698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1028357 |
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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 |
|---|---|---|---|
| P07319 | MA | BLUE CROSS PROVIDER NUMBE | |
| 1858483 | MA | MASSHEALTH PROVIDER NUMBE | |
| 1894862 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Ellen Henry by the Centers for Medicare & Medicaid Services?
The Mary Ellen Henry has been issued the NPI (National Provider Identifier) 1659415396 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary Ellen Henry's physical address?
The Mary Ellen Henry is physically located at 50 Commercial St, in the city of Provincetown, MA, with the postal code 26571912.
What is the Mary Ellen Henry's specialty and taxonomy code?
The Mary Ellen Henry's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Mary Ellen Henry receive its 1659415396 assignment?
The Mary Ellen Henry was assigned its 1659415396 on 2007-02-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mary Ellen Henry most recently updated or revised?
The information pertaining to Mary Ellen Henry, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.