Mary Gardner Sullivan in Yarmouth Port - Clinical
Mary Gardner Sullivan - NPI 1336357987
Mary Gardner Sullivan is a Clinical in Yarmouth Port, Massachusetts. Mary Gardner Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Gardner Sullivan is 1336357987. The last update date is 2007-10-09.
Mary Gardner Sullivan's current location address is 923 Route 6a, Yarmouth Port, Massachusetts. You can contact this provider via phone number 5086540905. The mailing address for Mary Gardner Sullivan is 923 Route 6a, Yarmouth Port, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Gardner Sullivan |
|---|---|
| Address | 923 Route 6a, Yarmouth Port, Massachusetts |
| Phone Number | 5086540905 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.I.C.S.W. |
NPI Number Detail
| NPI Number | 1336357987 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 923 Route 6a |
|---|---|
| City | Yarmouth Port |
| State | Massachusetts (MA) |
| Post Code | 26752159 |
| Phone Number | 5086540905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 114161 |
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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 identifier code issued to Mary Gardner Sullivan by the Centers for Medicare & Medicaid Services?
The Mary Gardner Sullivan has been assigned the NPI (National Provider Identifier) 1336357987 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Gardner Sullivan is physically located?
The Mary Gardner Sullivan is physically situated at the following address: 923 Route 6A, Yarmouth Port, MA, 26752159.
What is Mary Gardner Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Gardner Sullivan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Mary Gardner Sullivan receive its 1336357987 assignment from the Centers for Medicare & Medicaid Services?
The Mary Gardner Sullivan was assigned its 1336357987 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information pertaining to Mary Gardner Sullivan most recently updated or revised?
The details related to Mary Gardner Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-09.