Mary Jayne Wykowski in Portland - Clinical
Mary Jayne Wykowski - NPI 1861689978
Mary Jayne Wykowski is a Clinical in Portland, Oregon. Mary Jayne Wykowski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jayne Wykowski is 1861689978. The last update date is 2011-07-26.
Mary Jayne Wykowski's current location address is 2415 Se 43rd Ave, Portland, Oregon. You can contact this provider via phone number 5038720168. The mailing address for Mary Jayne Wykowski is 2415 Se 43rd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jayne Wykowski |
|---|---|
| Address | 2415 Se 43rd Ave, Portland, Oregon |
| Phone Number | 5038720168 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861689978 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2011-07-26 |
Provider Mailing Address Detail
| Address | 2415 Se 43rd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972061600 |
| Phone Number | 5038720168 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L4960 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Jayne Wykowski by the Centers for Medicare & Medicaid Services?
The Mary Jayne Wykowski has been issued the NPI (National Provider Identifier) 1861689978 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Jayne Wykowski is located?
The Mary Jayne Wykowski is situated at the following address: 2415 Se 43Rd Ave, Portland, OR, 972061600.
What is the Mary Jayne Wykowski's area of specialization and corresponding taxonomy classification?
The Mary Jayne Wykowski'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 Mary Jayne Wykowski receive the assignment of its 1861689978 from the Centers for Medicare & Medicaid Services?
The Mary Jayne Wykowski was issued its 1861689978 by the Centers for Medicare & Medicaid Services on 2007-10-02.
As of what date was the information pertaining to Mary Jayne Wykowski, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jayne Wykowski, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-26.
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