Marylynn R. Wiseman in Ridgewood - Clinical
Marylynn R. Wiseman - NPI 1942322433
Marylynn R. Wiseman is a Clinical in Ridgewood, New Jersey. Marylynn R. Wiseman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marylynn R. Wiseman is 1942322433. The last update date is 2012-07-16.
Marylynn R. Wiseman's current location address is 169 Dayton St, Ridgewood, New Jersey. You can contact this provider via phone number 2014453307. The mailing address for Marylynn R. Wiseman is 169 Dayton St, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marylynn R. Wiseman |
|---|---|
| Address | 169 Dayton St, Ridgewood, New Jersey |
| Phone Number | 2014453307 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942322433 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2012-07-16 |
Provider Mailing Address Detail
| Address | 169 Dayton St |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74504407 |
| Phone Number | 2014453307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC04507100 |
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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 identification code assigned to Marylynn R. Wiseman by the Centers for Medicare & Medicaid Services?
The Marylynn R. Wiseman has been issued the NPI (National Provider Identifier) 1942322433. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marylynn R. Wiseman's facilities are situated?
The facilities of Marylynn R. Wiseman are physically located at the following address: 169 Dayton St, Ridgewood, NJ, 74504407.
What is Marylynn R. Wiseman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marylynn R. Wiseman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942322433 to Marylynn R. Wiseman?
The Centers for Medicare & Medicaid Services originally issued the 1942322433 to Marylynn R. Wiseman on 2007-04-04.
When was the information pertaining to Marylynn R. Wiseman most recently updated or revised?
The details related to Marylynn R. Wiseman, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-16.