Mary Louise Schaub in Traverse City - Clinical

Mary Louise Schaub - NPI 1154419828

Mary Louise Schaub is a Clinical in Traverse City, Michigan. Mary Louise Schaub practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Louise Schaub is 1154419828. The last update date is 2007-07-08.

Mary Louise Schaub's current location address is 450 Alice Ln, Traverse City, Michigan. You can contact this provider via phone number 2319433854. The mailing address for Mary Louise Schaub is 450 Alice Ln, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Louise Schaub
Address 450 Alice Ln, Traverse City, Michigan
Phone Number 2319433854
Fax Number
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1154419828
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 450 Alice Ln
City Traverse City
State Michigan (MI)
Post Code 496848646
Phone Number 2319433854
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801078757
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 Louise Schaub

What is the unique provider identifier assigned to Mary Louise Schaub?

The Mary Louise Schaub has been issued the NPI (National Provider Identifier) 1154419828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Mary Louise Schaub is geographically located?

The Mary Louise Schaub is physically situated at the following location: 450 Alice Ln, Traverse City, MI, 496848646.

What is Mary Louise Schaub's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Louise Schaub's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Mary Louise Schaub receive its 1154419828 assignment from the Centers for Medicare & Medicaid Services?

The Mary Louise Schaub was assigned its 1154419828 by the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date were the details related to Mary Louise Schaub most recently updated or revised?

The information pertaining to Mary Louise Schaub, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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