Mary Alethea Holman in Fort Atkinson - Clinical
Mary Alethea Holman - NPI 1114945938
Mary Alethea Holman is a Clinical in Fort Atkinson, Wisconsin. Mary Alethea Holman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Alethea Holman is 1114945938. The last update date is 2007-10-17.
Mary Alethea Holman's current location address is 1631 Janesville Ave, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205639375 and fax number 9205639576. The mailing address for Mary Alethea Holman is 1631 Janesville Ave, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alethea Holman |
|---|---|
| Address | 1631 Janesville Ave, Fort Atkinson, Wisconsin |
| Phone Number | 9205639375 |
| Fax Number | 9205639576 |
| Sole Proprietor | N |
| Credentials | MSSW, LCSW |
NPI Number Detail
| NPI Number | 1114945938 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 1631 Janesville Ave |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535382727 |
| Phone Number | 9205639375 |
| Fax Number | 9205639576 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4155-123 |
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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 |
|---|---|---|---|
| 39277500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Alethea Holman by the Centers for Medicare & Medicaid Services?
The Mary Alethea Holman has been issued the NPI (National Provider Identifier) 1114945938, 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 Mary Alethea Holman's facilities are geographically located?
The facilities of Mary Alethea Holman are physically situated at the following location: 1631 Janesville Ave, Fort Atkinson, WI, 535382727.
What is Mary Alethea Holman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Alethea Holman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114945938 to Mary Alethea Holman?
The Centers for Medicare & Medicaid Services originally issued the 1114945938 to Mary Alethea Holman on 2006-07-18.
When was the information pertaining to Mary Alethea Holman most recently updated or revised?
The details related to Mary Alethea Holman, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-17.
NPI Number: 1376546309
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