Brenda W. Mallery in Virginia Beach - Clinical
Brenda W. Mallery - NPI 1700961695
Brenda W. Mallery is a Clinical in Virginia Beach, Virginia. Brenda W. Mallery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda W. Mallery is 1700961695. The last update date is 2014-02-25.
Brenda W. Mallery's current location address is 2114 Bayberry St, Virginia Beach, Virginia. You can contact this provider via phone number 7574507587. The mailing address for Brenda W. Mallery is 2114 Bayberry St, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda W. Mallery |
|---|---|
| Address | 2114 Bayberry St, Virginia Beach, Virginia |
| Phone Number | 7574507587 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700961695 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2014-02-25 |
Provider Mailing Address Detail
| Address | 2114 Bayberry St |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234511402 |
| Phone Number | 7574507587 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904001113 |
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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 |
|---|---|---|---|
| 1861562472 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brenda W. Mallery by the Centers for Medicare & Medicaid Services?
The Brenda W. Mallery has been issued the NPI (National Provider Identifier) 1700961695, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brenda W. Mallery's facilities are geographically located?
The facilities of Brenda W. Mallery are physically situated at the following location: 2114 Bayberry St, Virginia Beach, VA, 234511402.
What is Brenda W. Mallery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brenda W. Mallery is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700961695 to Brenda W. Mallery?
The Centers for Medicare & Medicaid Services assigned the 1700961695 to Brenda W. Mallery on 2006-10-26.
When was the information related to Brenda W. Mallery most recently updated or refreshed?
The details pertaining to the Brenda W. Mallery, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-25.