Mary-Beth Petersen-Cleary in Kenmore - Clinical
Mary-Beth Petersen-Cleary - NPI 1912955865
Mary-Beth Petersen-Cleary is a Clinical in Kenmore, New York. Mary-Beth Petersen-Cleary practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary-Beth Petersen-Cleary is 1912955865. The last update date is 2014-06-05.
Mary-Beth Petersen-Cleary's current location address is 3370 Delaware Ave, Kenmore, New York. You can contact this provider via phone number 7168778822 and fax number 7168745245. The mailing address for Mary-Beth Petersen-Cleary is 3370 Delaware Ave, Kenmore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary-Beth Petersen-Cleary |
|---|---|
| Address | 3370 Delaware Ave, Kenmore, New York |
| Phone Number | 7168778822 |
| Fax Number | 7168745245 |
| Sole Proprietor | N |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1912955865 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 3370 Delaware Ave |
|---|---|
| City | Kenmore |
| State | New York (NY) |
| Post Code | 142171425 |
| Phone Number | 7168778822 |
| Fax Number | 7168745245 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 56518 |
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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 |
|---|---|---|---|
| 302141501 | NY | UNIVERA | |
| 590325001 | NY | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary-Beth Petersen-Cleary by the Centers for Medicare & Medicaid Services?
The Mary-Beth Petersen-Cleary has been assigned the NPI (National Provider Identifier) 1912955865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary-Beth Petersen-Cleary?
The Mary-Beth Petersen-Cleary is situated at 3370 Delaware Ave, in the city of Kenmore, state of NY, with the zip code 142171425.
What is Mary-Beth Petersen-Cleary's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary-Beth Petersen-Cleary is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Mary-Beth Petersen-Cleary receive its 1912955865 assignment from the Centers for Medicare & Medicaid Services?
The Mary-Beth Petersen-Cleary was assigned its 1912955865 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information regarding Mary-Beth Petersen-Cleary most recently updated?
The details pertaining to the Mary-Beth Petersen-Cleary, including its address, specialty, and other relevant information, were last refreshed on 2014-06-05.