Mark T Middlebrooks in League City - Clinical

Mark T Middlebrooks - NPI 1679692073

Mark T Middlebrooks is a Clinical in League City, Texas. Mark T Middlebrooks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark T Middlebrooks is 1679692073. The last update date is 2007-07-08.

Mark T Middlebrooks's current location address is 614 W Main St, League City, Texas. You can contact this provider via phone number 2813324396. The mailing address for Mark T Middlebrooks is 614 W Main St, League City, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Middlebrooks
Address 614 W Main St, League City, Texas
Phone Number 2813324396
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1679692073
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 614 W Main St
City League City
State Texas (TX)
Post Code 775733771
Phone Number 2813324396
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 10869
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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FAQs about Mark T Middlebrooks

What is the unique provider identifier assigned to Mark T Middlebrooks?

The Mark T Middlebrooks has been issued the NPI (National Provider Identifier) 1679692073 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 address where Mark T Middlebrooks is physically located?

The Mark T Middlebrooks is situated at the following address: 614 W Main St, League City, TX 775733771.

What is Mark T Middlebrooks's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark T Middlebrooks's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date was the 1679692073 assigned to Mark T Middlebrooks?

The Mark T Middlebrooks was issued its 1679692073 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark T Middlebrooks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark T Middlebrooks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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