Mark Leo Diroff is a Clinical in Davisburg, Michigan. Mark Leo Diroff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Leo Diroff is 1578571642. The last update date is 2007-07-08.
Mark Leo Diroff's current location address is 12850 Fountain Sq, Davisburg, Michigan. You can contact this provider via phone number 2486346303 and fax number 2486341746. The mailing address for Mark Leo Diroff is 12850 Fountain Sq, Davisburg, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Leo Diroff |
|---|---|
| Address | 12850 Fountain Sq, Davisburg, Michigan |
| Phone Number | 2486346303 |
| Fax Number | 2486341746 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578571642 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12850 Fountain Sq |
|---|---|
| City | Davisburg |
| State | Michigan (MI) |
| Post Code | 483502552 |
| Phone Number | 2486346303 |
| Fax Number | 2486341746 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801019504 |
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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 Mark Leo Diroff by the Centers for Medicare & Medicaid Services?
The Mark Leo Diroff has been assigned the NPI (National Provider Identifier) 1578571642 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mark Leo Diroff's physical address?
The Mark Leo Diroff is physically located at 12850 Fountain Sq, in the city of Davisburg, MI, with the postal code 483502552.
What is the Mark Leo Diroff's specialty and taxonomy code?
The Mark Leo Diroff's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Mark Leo Diroff receive its 1578571642?
The Mark Leo Diroff was issued its 1578571642 on 2006-08-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Mark Leo Diroff's details last updated?
The information pertaining to the Mark Leo Diroff, including its address, specialty, and other details, was most recently updated on 2007-07-08.