Maureen Mary Sullivan in Latham - Clinical
Maureen Mary Sullivan - NPI 1407057326
Maureen Mary Sullivan is a Clinical in Latham, New York. Maureen Mary Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maureen Mary Sullivan is 1407057326. The last update date is 2007-07-08.
Maureen Mary Sullivan's current location address is 582 New Loudon Rd, Latham, New York. You can contact this provider via phone number 5187836059 and fax number 5187834793. The mailing address for Maureen Mary Sullivan is 582 New Loudon Rd, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maureen Mary Sullivan |
|---|---|
| Address | 582 New Loudon Rd, Latham, New York |
| Phone Number | 5187836059 |
| Fax Number | 5187834793 |
| Sole Proprietor | Y |
| Credentials | MSW, CSW-R |
NPI Number Detail
| NPI Number | 1407057326 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 582 New Loudon Rd |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121104029 |
| Phone Number | 5187836059 |
| Fax Number | 5187834793 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R044185-1 |
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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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What is the unique 10-digit identification code assigned to Maureen Mary Sullivan by the Centers for Medicare & Medicaid Services?
The Maureen Mary Sullivan has been issued the NPI (National Provider Identifier) 1407057326, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Maureen Mary Sullivan located?
The Maureen Mary Sullivan is located at 582 New Loudon Rd, Latham, NY 121104029.
What is the Maureen Mary Sullivan's area of specialization and corresponding taxonomy classification?
The Maureen Mary Sullivan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407057326 to Maureen Mary Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1407057326 to Maureen Mary Sullivan on 2007-05-29.
As of what date were the details pertaining to Maureen Mary Sullivan last refreshed?
The information related to the Maureen Mary Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.