Mary J Nixon is a Clinical in Kenmore, New York. Mary J Nixon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary J Nixon is 1275542722. The last update date is 2007-07-08.
Mary J Nixon's current location address is 252 E Hazeltine Ave, Kenmore, New York. You can contact this provider via phone number 7168765130 and fax number 7168765130. The mailing address for Mary J Nixon is 252 E Hazeltine Ave, Kenmore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Nixon |
|---|---|
| Address | 252 E Hazeltine Ave, Kenmore, New York |
| Phone Number | 7168765130 |
| Fax Number | 7168765130 |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1275542722 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 252 E Hazeltine Ave |
|---|---|
| City | Kenmore |
| State | New York (NY) |
| Post Code | 142172829 |
| Phone Number | 7168765130 |
| Fax Number | 7168765130 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0421101 |
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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 |
|---|---|---|---|
| 27123401 | NY | UNIVERA | |
| 503631001 | NY | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Mary J Nixon's 1275542722?
The Mary J Nixon's NPI (National Provider Identifier) Number is 1275542722. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary J Nixon?
The Mary J Nixon is physically situated at 252 E Hazeltine Ave, in the city of Kenmore, state of NY, with the postal code 142172829.
What is Mary J Nixon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary J Nixon is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1275542722 assigned to Mary J Nixon?
The Mary J Nixon was issued its 1275542722 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary J Nixon most recently updated?
The details pertaining to the Mary J Nixon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.