Mary Ellen Provencher in Westwood - Clinical
Mary Ellen Provencher - NPI 1669544235
Mary Ellen Provencher is a Clinical in Westwood, Massachusetts. Mary Ellen Provencher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ellen Provencher is 1669544235. The last update date is 2007-07-08.
Mary Ellen Provencher's current location address is 789 Capboardtree St, Westwood, Massachusetts. You can contact this provider via phone number 7812341318. The mailing address for Mary Ellen Provencher is 789 Capboardtree St, Westwood, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Provencher |
|---|---|
| Address | 789 Capboardtree St, Westwood, Massachusetts |
| Phone Number | 7812341318 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1669544235 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 789 Capboardtree St |
|---|---|
| City | Westwood |
| State | Massachusetts (MA) |
| Post Code | 2090 |
| Phone Number | 7812341318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 100755 |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Mary Ellen Provencher by the Centers for Medicare & Medicaid Services?
The Mary Ellen Provencher has been issued the NPI (National Provider Identifier) 1669544235. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Ellen Provencher is physically located?
The Mary Ellen Provencher is situated at the following address: 789 Capboardtree St, Westwood, MA 2090.
What is Mary Ellen Provencher's area of expertise and its corresponding taxonomy classification?
The Mary Ellen Provencher's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Ellen Provencher receive the assignment of its 1669544235 from the Centers for Medicare & Medicaid Services?
The Mary Ellen Provencher was issued its 1669544235 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details pertaining to Mary Ellen Provencher last refreshed?
The information related to the Mary Ellen Provencher, including its address, specialty, and other relevant details, was last updated on 2007-07-08.