Marley Gannon Pagel in Tecumseh - Clinical
Marley Gannon Pagel - NPI 1770564791
Marley Gannon Pagel is a Clinical in Tecumseh, Michigan. Marley Gannon Pagel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marley Gannon Pagel is 1770564791. The last update date is 2007-07-08.
Marley Gannon Pagel's current location address is 308 S Maumee St, Tecumseh, Michigan. You can contact this provider via phone number 5174236889 and fax number 5174236890. The mailing address for Marley Gannon Pagel is 308 S Maumee St, Tecumseh, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marley Gannon Pagel |
|---|---|
| Address | 308 S Maumee St, Tecumseh, Michigan |
| Phone Number | 5174236889 |
| Fax Number | 5174236890 |
| Sole Proprietor | X |
| Credentials | LMSW ACSW |
NPI Number Detail
| NPI Number | 1770564791 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 308 S Maumee St |
|---|---|
| City | Tecumseh |
| State | Michigan (MI) |
| Post Code | 492862033 |
| Phone Number | 5174236889 |
| Fax Number | 5174236890 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801069842 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PZ08922230 | MI | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Marley Gannon Pagel by the Centers for Medicare & Medicaid Services?
The Marley Gannon Pagel has been issued the NPI (National Provider Identifier) 1770564791. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marley Gannon Pagel is located?
The Marley Gannon Pagel is situated at the following address: 308 S Maumee St, Tecumseh, MI, 492862033.
What is the Marley Gannon Pagel's specialty and taxonomy code?
The Marley Gannon Pagel's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Marley Gannon Pagel receive its 1770564791 assignment?
The Marley Gannon Pagel was assigned its 1770564791 on 2005-11-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Marley Gannon Pagel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marley Gannon Pagel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.