Katelyn Mariah is a Clinical in Brooklyn Park, Minnesota. Katelyn Mariah practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katelyn Mariah is 1063579936. The last update date is 2007-07-08.
Katelyn Mariah's current location address is 7600 Boone Ave N, Brooklyn Park, Minnesota. You can contact this provider via phone number 7635152452 and fax number 7635152442. The mailing address for Katelyn Mariah is 7600 Boone Ave N, Brooklyn Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katelyn Mariah |
|---|---|
| Address | 7600 Boone Ave N, Brooklyn Park, Minnesota |
| Phone Number | 7635152452 |
| Fax Number | 7635152442 |
| Sole Proprietor | Y |
| Credentials | M.A, LICSW |
NPI Number Detail
| NPI Number | 1063579936 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7600 Boone Ave N |
|---|---|
| City | Brooklyn Park |
| State | Minnesota (MN) |
| Post Code | 554284563 |
| Phone Number | 7635152452 |
| Fax Number | 7635152442 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7301 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Katelyn Mariah by the Centers for Medicare & Medicaid Services?
The Katelyn Mariah has been issued the NPI (National Provider Identifier) 1063579936, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Katelyn Mariah is geographically located?
The Katelyn Mariah is physically situated at the following location: 7600 Boone Ave N, Brooklyn Park, MN, 554284563.
What is Katelyn Mariah's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katelyn Mariah is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Katelyn Mariah's 1063579936 issued?
The Katelyn Mariah's 1063579936 was issued on 2007-01-02.
As of what date was the information regarding Katelyn Mariah, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katelyn Mariah, 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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