Mary Ellen Lavoie in Wilmington - Clinical
Mary Ellen Lavoie - NPI 1215967989
Mary Ellen Lavoie is a Clinical in Wilmington, North Carolina. Mary Ellen Lavoie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ellen Lavoie is 1215967989. The last update date is 2023-08-08.
Mary Ellen Lavoie's current location address is 3205 Randall Pkwy Ste 111, Wilmington, North Carolina. You can contact this provider via phone number 9108990930 and fax number 9105501277. The mailing address for Mary Ellen Lavoie is 3205 Randall Pkwy Ste 111, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Lavoie |
|---|---|
| Address | 3205 Randall Pkwy Ste 111, Wilmington, North Carolina |
| Phone Number | 9108990930 |
| Fax Number | 9105501277 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1215967989 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | 3205 Randall Pkwy Ste 111 |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284032565 |
| Phone Number | 9108990930 |
| Fax Number | 9105501277 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 issued to Mary Ellen Lavoie by the Centers for Medicare & Medicaid Services?
The Mary Ellen Lavoie has been assigned the NPI (National Provider Identifier) 1215967989 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mary Ellen Lavoie's physical address?
The Mary Ellen Lavoie is physically located at 3205 Randall Pkwy Ste 111, in the city of Wilmington, NC, with the postal code 284032565.
What is Mary Ellen Lavoie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Ellen Lavoie's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Mary Ellen Lavoie receive its 1215967989 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ellen Lavoie was assigned its 1215967989 on 2006-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary Ellen Lavoie's details last updated?
The information pertaining to the Mary Ellen Lavoie, including its address, specialty, and other details, was most recently updated on 2023-08-08.