Mary Ellen Durham is a Clinical in Dallas, Texas. Mary Ellen Durham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ellen Durham is 1972599033. The last update date is 2010-09-29.
Mary Ellen Durham's current location address is 12850 Hillcrest Rd, Dallas, Texas. You can contact this provider via phone number 9724048253 and fax number 9727010874. The mailing address for Mary Ellen Durham is 12850 Hillcrest Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Durham |
|---|---|
| Address | 12850 Hillcrest Rd, Dallas, Texas |
| Phone Number | 9724048253 |
| Fax Number | 9727010874 |
| Sole Proprietor | N |
| Credentials | ACSW, LMSW |
NPI Number Detail
| NPI Number | 1972599033 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2010-09-29 |
Provider Mailing Address Detail
| Address | 12850 Hillcrest Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752301529 |
| Phone Number | 9724048253 |
| Fax Number | 9727010874 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2443 |
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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 |
|---|---|---|---|
| 86514Q | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Ellen Durham?
The Mary Ellen Durham has been issued the NPI (National Provider Identifier) 1972599033 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mary Ellen Durham's facilities are geographically located?
The facilities of Mary Ellen Durham are physically situated at the following location: 12850 Hillcrest Rd, Dallas, TX, 752301529.
What is the area of specialization for Mary Ellen Durham, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Ellen Durham is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Mary Ellen Durham receive its 1972599033 assignment?
The Mary Ellen Durham was assigned its 1972599033 on 2005-09-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary Ellen Durham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Ellen Durham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-29.