Mary Theresa Sise is a Clinical in Latham, New York. Mary Theresa Sise practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Theresa Sise is 1265404636. The last update date is 2013-04-08.
Mary Theresa Sise's current location address is 596 New Loudon Rd, Latham, New York. You can contact this provider via phone number 5187858576. The mailing address for Mary Theresa Sise is 596 New Loudon Rd, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Theresa Sise |
|---|---|
| Address | 596 New Loudon Rd, Latham, New York |
| Phone Number | 5187858576 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265404636 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2013-04-08 |
Provider Mailing Address Detail
| Address | 596 New Loudon Rd |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121104024 |
| Phone Number | 5187858576 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R-039215 |
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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 Theresa Sise's unique identification number?
The Mary Theresa Sise has been assigned the NPI (National Provider Identifier) Number 1265404636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary Theresa Sise is geographically located?
The Mary Theresa Sise is physically situated at the following location: 596 New Loudon Rd, Latham, NY, 121104024.
What is the area of specialization for Mary Theresa Sise, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Theresa Sise is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Mary Theresa Sise receive its 1265404636 assignment from the Centers for Medicare & Medicaid Services?
The Mary Theresa Sise was assigned its 1265404636 by the Centers for Medicare & Medicaid Services on 2006-02-01.
As of what date was the information regarding Mary Theresa Sise, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Theresa Sise, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-08.
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