Mary Anderson Lcsw Pc in Bayport - Clinical

Mary Anderson Lcsw Pc - NPI 1508955022

Mary Anderson Lcsw Pc is a Clinical in Bayport, New York. Mary Anderson Lcsw Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Anderson Lcsw Pc is 1508955022. The last update date is 2022-06-08.

Mary Anderson Lcsw Pc's current location address is 9 Baywood Ln, Bayport, New York. You can contact this provider via phone number 6319419494 and fax number 6319419494. The mailing address for Mary Anderson Lcsw Pc is 9 Baywood Ln, Bayport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mary Anderson Lcsw Pc
Address 9 Baywood Ln, Bayport, New York
Phone Number 6319419494
Fax Number 6319419494
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Anderson Mary
Telephone Number 6319419494

NPI Number Detail

NPI Number 1508955022
Provider Enumeration Date 2006-10-12
Last Updated Date 2022-06-08

Provider Mailing Address Detail

Address 9 Baywood Ln
City Bayport
State New York (NY)
Post Code 117051727
Phone Number 6319419494
Fax Number 6319419494

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R0505421
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
61020463081 NY --

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FAQs about Mary Anderson Lcsw Pc

What is the unique 10-digit identifier code issued to Mary Anderson Lcsw Pc by the Centers for Medicare & Medicaid Services?

The Mary Anderson Lcsw Pc has been assigned the NPI (National Provider Identifier) 1508955022 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mary Anderson Lcsw Pc's facilities are geographically located?

The facilities of Mary Anderson Lcsw Pc are physically situated at the following location: 9 Baywood Ln, Bayport, NY, 117051727.

What is Mary Anderson Lcsw Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Anderson Lcsw Pc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When did Mary Anderson Lcsw Pc receive its 1508955022 assignment?

The Mary Anderson Lcsw Pc was assigned its 1508955022 on 2006-10-12, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mary Anderson Lcsw Pc last refreshed?

The information related to the Mary Anderson Lcsw Pc, including its address, specialty, and other relevant details, was last updated on 2022-06-08.

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