Mary Ann Rourke is a Clinical in Waterbury, Connecticut. Mary Ann Rourke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ann Rourke is 1023139391. The last update date is 2007-07-08.
Mary Ann Rourke's current location address is 56 Franklin St, Waterbury, Connecticut. You can contact this provider via phone number 2037098873 and fax number 2037098689. The mailing address for Mary Ann Rourke is 56 Franklin St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Rourke |
|---|---|
| Address | 56 Franklin St, Waterbury, Connecticut |
| Phone Number | 2037098873 |
| Fax Number | 2037098689 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1023139391 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 56 Franklin St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67061221 |
| Phone Number | 2037098873 |
| Fax Number | 2037098689 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4665 |
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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 |
|---|---|---|---|
| 4259380 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mary Ann Rourke by the Centers for Medicare & Medicaid Services?
The Mary Ann Rourke has been issued the NPI (National Provider Identifier) 1023139391. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Ann Rourke is geographically located?
The Mary Ann Rourke is physically situated at the following location: 56 Franklin St, Waterbury, CT, 67061221.
What is the Mary Ann Rourke's specialty and taxonomy code?
The Mary Ann Rourke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Mary Ann Rourke receive its 1023139391 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ann Rourke was assigned its 1023139391 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the Mary Ann Rourke's details last updated?
The information pertaining to the Mary Ann Rourke, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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