Mary Sue Decotiis is a Clinical in Ithaca, New York. Mary Sue Decotiis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Sue Decotiis is 1841451523. The last update date is 2011-10-10.
Mary Sue Decotiis's current location address is 127 W State St, Ithaca, New York. You can contact this provider via phone number 6072737494 and fax number 6072737484. The mailing address for Mary Sue Decotiis is 127 W State St, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Sue Decotiis |
|---|---|
| Address | 127 W State St, Ithaca, New York |
| Phone Number | 6072737494 |
| Fax Number | 6072737484 |
| Sole Proprietor | N |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1841451523 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
| Address | 127 W State St |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148505474 |
| Phone Number | 6072737494 |
| Fax Number | 6072737484 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R038269 |
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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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What is the Mary Sue Decotiis's unique identification number?
The Mary Sue Decotiis has been assigned the NPI (National Provider Identifier) Number 1841451523 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mary Sue Decotiis is located?
The Mary Sue Decotiis is situated at the following address: 127 W State St, Ithaca, NY, 148505474.
What is Mary Sue Decotiis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Sue Decotiis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841451523 to Mary Sue Decotiis?
The Centers for Medicare & Medicaid Services assigned the 1841451523 to Mary Sue Decotiis on 2008-06-24.
When was the information regarding Mary Sue Decotiis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Sue Decotiis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-10.