Mack Conley O'Quinn in Fort Lee - Clinical
Mack Conley O'Quinn - NPI 1801854807
Mack Conley O'Quinn is a Clinical in Fort Lee, Virginia. Mack Conley O'Quinn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mack Conley O'Quinn is 1801854807. The last update date is 2011-04-08.
Mack Conley O'Quinn's current location address is 700 24th Street, Fort Lee, Virginia. You can contact this provider via phone number 8047349149 and fax number 8778741008. The mailing address for Mack Conley O'Quinn is 700 24th Street, Fort Lee, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mack Conley O'Quinn |
|---|---|
| Address | 700 24th Street, Fort Lee, Virginia |
| Phone Number | 8047349149 |
| Fax Number | 8778741008 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1801854807 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
| Address | 700 24th Street |
|---|---|
| City | Fort Lee |
| State | Virginia (VA) |
| Post Code | 23801 |
| Phone Number | 8047349149 |
| Fax Number | 8778741008 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 3619 |
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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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What is the Mack Conley O'Quinn's 1801854807?
The Mack Conley O'Quinn's NPI (National Provider Identifier) Number is 1801854807. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mack Conley O'Quinn?
The Mack Conley O'Quinn is situated at 700 24Th Street, in the city of Fort Lee, state of VA, with the zip code 23801.
What is the area of specialization for Mack Conley O'Quinn, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mack Conley O'Quinn is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801854807 to Mack Conley O'Quinn?
The Mack Conley O'Quinn received its 1801854807 assignment from the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the information related to Mack Conley O'Quinn most recently updated or refreshed?
The details pertaining to the Mack Conley O'Quinn, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH