Mary Jane Hurt is a Clinical in Roanoke, Virginia. Mary Jane Hurt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jane Hurt is 1861418626. The last update date is 2007-07-09.
Mary Jane Hurt's current location address is 360 Campbell Ave Sw, Roanoke, Virginia. You can contact this provider via phone number 5405635316 and fax number 5405635254. The mailing address for Mary Jane Hurt is 360 Campbell Ave Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Hurt |
|---|---|
| Address | 360 Campbell Ave Sw, Roanoke, Virginia |
| Phone Number | 5405635316 |
| Fax Number | 5405635254 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861418626 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 360 Campbell Ave Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240163625 |
| Phone Number | 5405635316 |
| Fax Number | 5405635254 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000813 |
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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 |
|---|---|---|---|
| ANTHEM | VA | 30835 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Jane Hurt by the Centers for Medicare & Medicaid Services?
The Mary Jane Hurt has been issued the NPI (National Provider Identifier) 1861418626, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Jane Hurt?
The Mary Jane Hurt is physically situated at 360 Campbell Ave Sw, in the city of Roanoke, state of VA, with the postal code 240163625.
What is the area of specialization for Mary Jane Hurt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Jane Hurt 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 assign the 1861418626 to Mary Jane Hurt?
The Centers for Medicare & Medicaid Services assigned the 1861418626 to Mary Jane Hurt on 2006-07-14.
When was the information regarding Mary Jane Hurt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Jane Hurt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.