Mark William Raybould in Albuquerque - Clinical
Mark William Raybould - NPI 1124095096
Mark William Raybould is a Clinical in Albuquerque, New Mexico. Mark William Raybould practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark William Raybould is 1124095096. The last update date is 2008-06-03.
Mark William Raybould's current location address is Po Box 30811, Albuquerque, New Mexico. You can contact this provider via phone number 5055734044 and fax number 5055734044. The mailing address for Mark William Raybould is Po Box 30811, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Raybould |
|---|---|
| Address | Po Box 30811, Albuquerque, New Mexico |
| Phone Number | 5055734044 |
| Fax Number | 5055734044 |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1124095096 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | Po Box 30811 |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871900811 |
| Phone Number | 5055734044 |
| Fax Number | 5055734044 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-04965 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51681374 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark William Raybould by the Centers for Medicare & Medicaid Services (CMS)?
The Mark William Raybould has been assigned the NPI (National Provider Identifier) 1124095096. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mark William Raybould is geographically located?
The Mark William Raybould is physically situated at the following location: Po Box 30811, Albuquerque, NM, 871900811.
What is Mark William Raybould's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark William Raybould is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Mark William Raybould receive the assignment of its 1124095096 from the Centers for Medicare & Medicaid Services?
The Mark William Raybould was issued its 1124095096 by the Centers for Medicare & Medicaid Services on 2006-03-01.
When was the information regarding Mark William Raybould most recently updated?
The details pertaining to the Mark William Raybould, including its address, specialty, and other relevant information, were last refreshed on 2008-06-03.
NPI Number: 1215930425
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