Mary Shelley is a Clinical in Ithaca, New York. Mary Shelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Shelley is 1437217403. The last update date is 2007-07-08.
Mary Shelley's current location address is 109 Park Pl, Ithaca, New York. You can contact this provider via phone number 6072732312. The mailing address for Mary Shelley is 109 Park Pl, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Shelley |
|---|---|
| Address | 109 Park Pl, Ithaca, New York |
| Phone Number | 6072732312 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1437217403 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 109 Park Pl |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148504028 |
| Phone Number | 6072732312 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR043869-1 |
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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 |
|---|---|---|---|
| PR043869 | NY | LCSW, CLINICAL SOCIAL WOR | |
| 9246 | NY | CASAC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Shelley by the Centers for Medicare & Medicaid Services?
The Mary Shelley has been issued the NPI (National Provider Identifier) 1437217403, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Shelley?
The Mary Shelley is physically situated at 109 Park Pl, in the city of Ithaca, state of NY, with the postal code 148504028.
What is the area of specialization for Mary Shelley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Shelley is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did the Mary Shelley receive its 1437217403?
The Mary Shelley was issued its 1437217403 on 2006-12-04, which is the date when the organization was assigned this unique identifier.
When was the information related to Mary Shelley most recently updated or refreshed?
The details pertaining to the Mary Shelley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.