Mary Kinzie in Shelby Township - Clinical

Mary Kinzie - NPI 1457419244

Mary Kinzie is a Clinical in Shelby Township, Michigan. Mary Kinzie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Kinzie is 1457419244. The last update date is 2007-07-08.

Mary Kinzie's current location address is 45445 Mound, Shelby Township, Michigan. You can contact this provider via phone number 5862545660 and fax number 5862540622. The mailing address for Mary Kinzie is 45445 Mound, Shelby Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kinzie
Address 45445 Mound, Shelby Township, Michigan
Phone Number 5862545660
Fax Number 5862540622
Sole Proprietor N
Credentials MSW LMSW A

NPI Number Detail

NPI Number 1457419244
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 45445 Mound
City Shelby Township
State Michigan (MI)
Post Code 48317
Phone Number 5862545660
Fax Number 5862540622

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801035865
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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FAQs about Mary Kinzie

What is the unique 10-digit identification code issued to Mary Kinzie by the Centers for Medicare & Medicaid Services?

The Mary Kinzie has been assigned the NPI (National Provider Identifier) 1457419244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Mary Kinzie?

The Mary Kinzie is situated at 45445 Mound, in the city of Shelby Township, state of MI, with the zip code 48317.

What is Mary Kinzie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Kinzie is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1457419244 to Mary Kinzie?

The Mary Kinzie received its 1457419244 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.

As of what date was the information regarding Mary Kinzie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Kinzie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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