Jessica Mae Scully in Huntington Station - Clinical
Jessica Mae Scully - NPI 1689862864
Jessica Mae Scully is a Clinical in Huntington Station, New York. Jessica Mae Scully practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Mae Scully is 1689862864. The last update date is 2007-10-12.
Jessica Mae Scully's current location address is 5 Knoll Ln, Huntington Station, New York. You can contact this provider via phone number 6314214232 and fax number 6314250221. The mailing address for Jessica Mae Scully is 5 Knoll Ln, Huntington Station, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica Mae Scully |
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Address | 5 Knoll Ln, Huntington Station, New York |
Phone Number | 6314214232 |
Fax Number | 6314250221 |
Sole Proprietor | Y |
Credentials | LCSW R |
NPI Number Detail
NPI Number | 1689862864 |
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Provider Enumeration Date | 2007-10-12 |
Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
Address | 5 Knoll Ln |
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City | Huntington Station |
State | New York (NY) |
Post Code | 117461337 |
Phone Number | 6314214232 |
Fax Number | 6314250221 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | R047693-1 |
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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What is the Jessica Mae Scully's 1689862864?
The Jessica Mae Scully's NPI (National Provider Identifier) Number is 1689862864. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jessica Mae Scully?
The Jessica Mae Scully is situated at 5 Knoll Ln, in the city of Huntington Station, state of NY, with the zip code 117461337.
What is Jessica Mae Scully's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica Mae Scully is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689862864 to Jessica Mae Scully?
The Centers for Medicare & Medicaid Services assigned the 1689862864 to Jessica Mae Scully on 2007-10-12.
As of what date were the details related to Jessica Mae Scully most recently updated or revised?
The information pertaining to Jessica Mae Scully, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-12.