Mary Carla Davis is a Clinical in Chattanooga, Tennessee. Mary Carla Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Carla Davis is 1962411934. The last update date is 2023-10-19.
Mary Carla Davis's current location address is 5873 Lake Resort Ter Apt D201, Chattanooga, Tennessee. You can contact this provider via phone number 4238775631 and fax number 4238775631. The mailing address for Mary Carla Davis is 5873 Lake Resort Ter Apt D201, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Carla Davis |
|---|---|
| Address | 5873 Lake Resort Ter Apt D201, Chattanooga, Tennessee |
| Phone Number | 4238775631 |
| Fax Number | 4238775631 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1962411934 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2023-10-19 |
Provider Mailing Address Detail
| Address | 5873 Lake Resort Ter Apt D201 |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374152788 |
| Phone Number | 4238775631 |
| Fax Number | 4238775631 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3070 |
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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 |
|---|---|---|---|
| 3693461 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Carla Davis?
The Mary Carla Davis has been issued the NPI (National Provider Identifier) 1962411934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Carla Davis is located?
The Mary Carla Davis is situated at the following address: 5873 Lake Resort Ter Apt D201, Chattanooga, TN, 374152788.
What is the Mary Carla Davis's specialty and taxonomy code?
The Mary Carla Davis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Mary Carla Davis receive its 1962411934 assignment from the Centers for Medicare & Medicaid Services?
The Mary Carla Davis was assigned its 1962411934 on 2006-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mary Carla Davis's information last updated?
The Mary Carla Davis's information was last updated on 2023-10-19.
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