Marcelo Mitchell Matamoros in Plano - Clinical
Marcelo Mitchell Matamoros - NPI 1568541472
Marcelo Mitchell Matamoros is a Clinical in Plano, Texas. Marcelo Mitchell Matamoros practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marcelo Mitchell Matamoros is 1568541472. The last update date is 2007-07-08.
Marcelo Mitchell Matamoros's current location address is 5068 W Plano Pkwy Ste 300, Plano, Texas. You can contact this provider via phone number 2143485325. The mailing address for Marcelo Mitchell Matamoros is 5068 W Plano Pkwy Ste 300, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcelo Mitchell Matamoros |
|---|---|
| Address | 5068 W Plano Pkwy Ste 300, Plano, Texas |
| Phone Number | 2143485325 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568541472 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5068 W Plano Pkwy Ste 300 |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 750934409 |
| Phone Number | 2143485325 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3835 |
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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 |
|---|---|---|---|
| 00S98J | TX | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Marcelo Mitchell Matamoros by the Centers for Medicare & Medicaid Services?
The Marcelo Mitchell Matamoros has been assigned the NPI (National Provider Identifier) 1568541472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marcelo Mitchell Matamoros?
The Marcelo Mitchell Matamoros is physically situated at 5068 W Plano Pkwy Ste 300, in the city of Plano, state of TX, with the postal code 750934409.
What is the Marcelo Mitchell Matamoros's area of specialization and corresponding taxonomy classification?
The Marcelo Mitchell Matamoros'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 Marcelo Mitchell Matamoros receive its 1568541472 assignment from the Centers for Medicare & Medicaid Services?
The Marcelo Mitchell Matamoros was assigned its 1568541472 by the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date were the Marcelo Mitchell Matamoros's details last updated?
The information pertaining to the Marcelo Mitchell Matamoros, including its address, specialty, and other details, was most recently updated on 2007-07-08.