Mary L Connolly is a Clinical in Birmingham, Michigan. Mary L Connolly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary L Connolly is 1154488286. The last update date is 2007-07-08.
Mary L Connolly's current location address is 700 N Old Woodward Ave, Birmingham, Michigan. You can contact this provider via phone number 2486428263 and fax number 2486426832. The mailing address for Mary L Connolly is 700 N Old Woodward Ave, Birmingham, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary L Connolly |
|---|---|
| Address | 700 N Old Woodward Ave, Birmingham, Michigan |
| Phone Number | 2486428263 |
| Fax Number | 2486426832 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1154488286 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 700 N Old Woodward Ave |
|---|---|
| City | Birmingham |
| State | Michigan (MI) |
| Post Code | 480091322 |
| Phone Number | 2486428263 |
| Fax Number | 2486426832 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801011830 |
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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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What is the unique 10-digit identifier code issued to Mary L Connolly by the Centers for Medicare & Medicaid Services?
The Mary L Connolly has been assigned the NPI (National Provider Identifier) 1154488286 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary L Connolly's facilities are situated?
The facilities of Mary L Connolly are physically located at the following address: 700 N Old Woodward Ave, Birmingham, MI, 480091322.
What is Mary L Connolly'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 Mary L Connolly 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 originally issue the 1154488286 to Mary L Connolly?
The Centers for Medicare & Medicaid Services originally issued the 1154488286 to Mary L Connolly on 2007-01-01.
When was the information regarding Mary L Connolly most recently updated?
The details pertaining to the Mary L Connolly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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