Mary Coonan is a Clinical in Pompano Beach, Florida. Mary Coonan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Coonan is 1083823579. The last update date is 2017-08-27.
Mary Coonan's current location address is 126 S Cypress Rd, Pompano Beach, Florida. You can contact this provider via phone number 9175756880. The mailing address for Mary Coonan is 126 S Cypress Rd, Pompano Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Coonan |
|---|---|
| Address | 126 S Cypress Rd, Pompano Beach, Florida |
| Phone Number | 9175756880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083823579 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2017-08-27 |
Provider Mailing Address Detail
| Address | 126 S Cypress Rd |
|---|---|
| City | Pompano Beach |
| State | Florida (FL) |
| Post Code | 330607056 |
| Phone Number | 9175756880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW13239 |
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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 |
|---|---|---|---|
| 72106 | NY | LCSW LICENSDCLINCALSOCWKR | |
| 1041C0700X | NY | PROVIDER TAXONOMY CODE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Coonan?
The Mary Coonan has been issued the NPI (National Provider Identifier) 1083823579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mary Coonan's physical address?
The Mary Coonan is physically located at 126 S Cypress Rd, in the city of Pompano Beach, FL, with the postal code 330607056.
What is the Mary Coonan's area of specialization and corresponding taxonomy classification?
The Mary Coonan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Mary Coonan receive its 1083823579?
The Mary Coonan was issued its 1083823579 on 2007-05-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Mary Coonan's details last updated?
The information pertaining to the Mary Coonan, including its address, specialty, and other details, was most recently updated on 2017-08-27.