Roger J Mize is a Clinical in Painesville, Ohio. Roger J Mize practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger J Mize is 1962615518. The last update date is 2019-08-16.
Roger J Mize's current location address is 462 Chardon St, Painesville, Ohio. You can contact this provider via phone number 4408531501. The mailing address for Roger J Mize is 462 Chardon St, Painesville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger J Mize |
|---|---|
| Address | 462 Chardon St, Painesville, Ohio |
| Phone Number | 4408531501 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1962615518 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2019-08-16 |
Provider Mailing Address Detail
| Address | 462 Chardon St |
|---|---|
| City | Painesville |
| State | Ohio (OH) |
| Post Code | 440773019 |
| Phone Number | 4408531501 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I.0004936-SU |
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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 |
|---|---|---|---|
| 157240 | OH | -- |
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What is the unique 10-digit identifier code issued to Roger J Mize by the Centers for Medicare & Medicaid Services?
The Roger J Mize has been assigned the NPI (National Provider Identifier) 1962615518 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Roger J Mize located?
The Roger J Mize is located at 462 Chardon St, Painesville, OH 440773019.
What is Roger J Mize's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roger J Mize's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962615518 to Roger J Mize?
The Centers for Medicare & Medicaid Services originally issued the 1962615518 to Roger J Mize on 2007-05-08.
As of what date were the details pertaining to Roger J Mize last refreshed?
The information related to the Roger J Mize, including its address, specialty, and other relevant details, was last updated on 2019-08-16.