Mary Jo Klingel is a Clinical in Charlotte, North Carolina. Mary Jo Klingel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jo Klingel is 1558402701. The last update date is 2018-05-31.
Mary Jo Klingel's current location address is 6612 E Wt Harris Blvd Ste D, Charlotte, North Carolina. You can contact this provider via phone number 7042416520. The mailing address for Mary Jo Klingel is 6612 E Wt Harris Blvd Ste D, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Klingel |
|---|---|
| Address | 6612 E Wt Harris Blvd Ste D, Charlotte, North Carolina |
| Phone Number | 7042416520 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558402701 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2018-05-31 |
Provider Mailing Address Detail
| Address | 6612 E Wt Harris Blvd Ste D |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282155135 |
| Phone Number | 7042416520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C010989 |
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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 |
|---|---|---|---|
| Z1230 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Mary Jo Klingel by the Centers for Medicare & Medicaid Services?
The Mary Jo Klingel has been issued the NPI (National Provider Identifier) 1558402701. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Jo Klingel is geographically located?
The Mary Jo Klingel is physically situated at the following location: 6612 E Wt Harris Blvd Ste D, Charlotte, NC, 282155135.
What is the Mary Jo Klingel's area of specialization and corresponding taxonomy classification?
The Mary Jo Klingel's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Mary Jo Klingel receive its 1558402701 assignment?
The Mary Jo Klingel was assigned its 1558402701 on 2007-02-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mary Jo Klingel most recently updated or revised?
The information pertaining to Mary Jo Klingel, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-31.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC