Mamie Marie Branch is a Clinical in Newark, New Jersey. Mamie Marie Branch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mamie Marie Branch is 1083785570. The last update date is 2007-07-08.
Mamie Marie Branch's current location address is 273 Oliver St, Newark, New Jersey. You can contact this provider via phone number 9735222122 and fax number 9735220437. The mailing address for Mamie Marie Branch is 273 Oliver St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mamie Marie Branch |
|---|---|
| Address | 273 Oliver St, Newark, New Jersey |
| Phone Number | 9735222122 |
| Fax Number | 9735220437 |
| Sole Proprietor | Y |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1083785570 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 273 Oliver St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71052507 |
| Phone Number | 9735222122 |
| Fax Number | 9735220437 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SL05183800 |
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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 Mamie Marie Branch by the Centers for Medicare & Medicaid Services?
The Mamie Marie Branch has been issued the NPI (National Provider Identifier) 1083785570, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mamie Marie Branch?
The Mamie Marie Branch is situated at 273 Oliver St, in the city of Newark, state of NJ, with the zip code 71052507.
What is Mamie Marie Branch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mamie Marie Branch is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Mamie Marie Branch receive its 1083785570 assignment from the Centers for Medicare & Medicaid Services?
The Mamie Marie Branch was assigned its 1083785570 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mamie Marie Branch's information last updated?
The Mamie Marie Branch's information was last updated on 2007-07-08.