Marjorie B Sullivan in Brockton - Clinical
Marjorie B Sullivan - NPI 1154484087
Marjorie B Sullivan is a Clinical in Brockton, Massachusetts. Marjorie B Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marjorie B Sullivan is 1154484087. The last update date is 2007-07-08.
Marjorie B Sullivan's current location address is 1342 Belmont Street, Brockton, Massachusetts. You can contact this provider via phone number 5085881290 and fax number 5085884639. The mailing address for Marjorie B Sullivan is 1342 Belmont Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marjorie B Sullivan |
|---|---|
| Address | 1342 Belmont Street, Brockton, Massachusetts |
| Phone Number | 5085881290 |
| Fax Number | 5085884639 |
| Sole Proprietor | N |
| Credentials | LICSW MSS |
NPI Number Detail
| NPI Number | 1154484087 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1342 Belmont Street |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 2301 |
| Phone Number | 5085881290 |
| Fax Number | 5085884639 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1017516 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marjorie B Sullivan by the Centers for Medicare & Medicaid Services?
The Marjorie B Sullivan has been issued the NPI (National Provider Identifier) 1154484087, 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 Marjorie B Sullivan is physically located?
The Marjorie B Sullivan is situated at the following address: 1342 Belmont Street, Brockton, MA 2301.
What is Marjorie B Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marjorie B Sullivan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154484087 to Marjorie B Sullivan?
The Marjorie B Sullivan received its 1154484087 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information regarding Marjorie B Sullivan most recently updated?
The details pertaining to the Marjorie B Sullivan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
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