Mary Alice Cunningham Pc in Midvale - Clinical
Mary Alice Cunningham Pc - NPI 1235284100
Mary Alice Cunningham Pc is a Clinical in Midvale, Utah. Mary Alice Cunningham Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Alice Cunningham Pc is 1235284100. The last update date is 2020-08-22.
Mary Alice Cunningham Pc's current location address is 7971 Pioneer St, Midvale, Utah. You can contact this provider via phone number 8018429800. The mailing address for Mary Alice Cunningham Pc is 7971 Pioneer St, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mary Alice Cunningham Pc |
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Address | 7971 Pioneer St, Midvale, Utah |
Phone Number | 8018429800 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Cunningham Stoddard Mary Alice |
Credentials | LCSW |
Telephone Number | 8018429800 |
NPI Number Detail
NPI Number | 1235284100 |
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Provider Enumeration Date | 2007-01-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 7971 Pioneer St |
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City | Midvale |
State | Utah (UT) |
Post Code | 840477418 |
Phone Number | 8018429800 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 323492-3501 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1093742058 | UT | LCSW |
Post Comment/ Review Below
What is the Mary Alice Cunningham Pc's 1235284100?
The Mary Alice Cunningham Pc's NPI (National Provider Identifier) Number is 1235284100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary Alice Cunningham Pc is located?
The Mary Alice Cunningham Pc is situated at the following address: 7971 Pioneer St, Midvale, UT, 840477418.
What is Mary Alice Cunningham Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Alice Cunningham Pc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235284100 to Mary Alice Cunningham Pc?
The Mary Alice Cunningham Pc received its 1235284100 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the details related to Mary Alice Cunningham Pc most recently updated or revised?
The information pertaining to Mary Alice Cunningham Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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