Mary Juanita Thibodeaux in Kansas City - Clinical
Mary Juanita Thibodeaux - NPI 1801004510
Mary Juanita Thibodeaux is a Clinical in Kansas City, Missouri. Mary Juanita Thibodeaux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Juanita Thibodeaux is 1801004510. The last update date is 2010-03-30.
Mary Juanita Thibodeaux's current location address is 1012 E 76th St, Kansas City, Missouri. You can contact this provider via phone number 8164446533. The mailing address for Mary Juanita Thibodeaux is 1012 E 76th St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Juanita Thibodeaux |
|---|---|
| Address | 1012 E 76th St, Kansas City, Missouri |
| Phone Number | 8164446533 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1801004510 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2010-03-30 |
Provider Mailing Address Detail
| Address | 1012 E 76th St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641312008 |
| Phone Number | 8164446533 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2002024986 |
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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 identifier code issued to Mary Juanita Thibodeaux by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Juanita Thibodeaux has been assigned the NPI (National Provider Identifier) 1801004510. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mary Juanita Thibodeaux's physical address?
The Mary Juanita Thibodeaux is physically located at 1012 E 76Th St, in the city of Kansas City, MO, with the postal code 641312008.
What is Mary Juanita Thibodeaux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Juanita Thibodeaux is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Mary Juanita Thibodeaux receive its 1801004510 assignment?
The Mary Juanita Thibodeaux was assigned its 1801004510 on 2007-05-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary Juanita Thibodeaux, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Juanita Thibodeaux, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-30.
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