Marilynn Magaly Massa in Jackson Heights - Clinical
Marilynn Magaly Massa - NPI 1144303090
Marilynn Magaly Massa is a Clinical in Jackson Heights, New York. Marilynn Magaly Massa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilynn Magaly Massa is 1144303090. The last update date is 2012-05-08.
Marilynn Magaly Massa's current location address is 3524 78th St, Jackson Heights, New York. You can contact this provider via phone number 9175897796. The mailing address for Marilynn Magaly Massa is 3524 78th St, Jackson Heights, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilynn Magaly Massa |
|---|---|
| Address | 3524 78th St, Jackson Heights, New York |
| Phone Number | 9175897796 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1144303090 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2012-05-08 |
Provider Mailing Address Detail
| Address | 3524 78th St |
|---|---|
| City | Jackson Heights |
| State | New York (NY) |
| Post Code | 113724750 |
| Phone Number | 9175897796 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R058394-1 |
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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 |
|---|---|---|---|
| R058394-1 | NY | SOCIAL WORKER LICENSE NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Marilynn Magaly Massa by the Centers for Medicare & Medicaid Services (CMS)?
The Marilynn Magaly Massa has been assigned the NPI (National Provider Identifier) 1144303090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Marilynn Magaly Massa is geographically located?
The Marilynn Magaly Massa is physically situated at the following location: 3524 78Th St, Jackson Heights, NY, 113724750.
What is Marilynn Magaly Massa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marilynn Magaly Massa is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1144303090 assigned to Marilynn Magaly Massa?
The Marilynn Magaly Massa was issued its 1144303090 on 2006-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marilynn Magaly Massa's details last updated?
The information pertaining to the Marilynn Magaly Massa, including its address, specialty, and other details, was most recently updated on 2012-05-08.