Mary Beth Mellin is a Clinical in Marquette, Michigan. Mary Beth Mellin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Beth Mellin is 1972586535. The last update date is 2007-07-08.
Mary Beth Mellin's current location address is 580 W College Ave, Marquette, Michigan. You can contact this provider via phone number 9062253985 and fax number 9062254562. The mailing address for Mary Beth Mellin is 580 W College Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Mellin |
|---|---|
| Address | 580 W College Ave, Marquette, Michigan |
| Phone Number | 9062253985 |
| Fax Number | 9062254562 |
| Sole Proprietor | X |
| Credentials | MSW LMSW A |
NPI Number Detail
| NPI Number | 1972586535 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 580 W College Ave |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 49855 |
| Phone Number | 9062253985 |
| Fax Number | 9062254562 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801068523 |
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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 provider identifier assigned to Mary Beth Mellin?
The Mary Beth Mellin has been issued the NPI (National Provider Identifier) 1972586535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Mary Beth Mellin by the Centers for Medicare & Medicaid Services?
The Mary Beth Mellin has been assigned the NPI (National Provider Identifier) 1972586535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mary Beth Mellin is geographically located?
The Mary Beth Mellin is physically situated at the following location: 580 W College Ave, Marquette, MI, 49855.
What is Mary Beth Mellin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Beth Mellin is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972586535 to Mary Beth Mellin?
The Centers for Medicare & Medicaid Services originally issued the 1972586535 to Mary Beth Mellin on 2005-11-28.