Elaine Brady Mahoney in Portland - Clinical
Elaine Brady Mahoney - NPI 1568509859
Elaine Brady Mahoney is a Clinical in Portland, Oregon. Elaine Brady Mahoney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elaine Brady Mahoney is 1568509859. The last update date is 2007-07-08.
Elaine Brady Mahoney's current location address is 2024 Ne 50th Ave, Portland, Oregon. You can contact this provider via phone number 5032600419 and fax number 5039788640. The mailing address for Elaine Brady Mahoney is 2024 Ne 50th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Brady Mahoney |
|---|---|
| Address | 2024 Ne 50th Ave, Portland, Oregon |
| Phone Number | 5032600419 |
| Fax Number | 5039788640 |
| Sole Proprietor | N |
| Credentials | LCSW CADC |
NPI Number Detail
| NPI Number | 1568509859 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2024 Ne 50th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97213 |
| Phone Number | 5032600419 |
| Fax Number | 5039788640 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3254 |
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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 identification code assigned to Elaine Brady Mahoney by the Centers for Medicare & Medicaid Services?
The Elaine Brady Mahoney has been issued the NPI (National Provider Identifier) 1568509859. 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 location address where Elaine Brady Mahoney's facilities are situated?
The facilities of Elaine Brady Mahoney are physically located at the following address: 2024 Ne 50Th Ave, Portland, OR, 97213.
What is Elaine Brady Mahoney's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elaine Brady Mahoney's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Elaine Brady Mahoney receive its 1568509859 assignment from the Centers for Medicare & Medicaid Services?
The Elaine Brady Mahoney was assigned its 1568509859 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Elaine Brady Mahoney, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elaine Brady Mahoney, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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