Lisa Marie Manery is a Clinical in Meridian, Idaho. Lisa Marie Manery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Marie Manery is 1235216466. The last update date is 2007-07-08.
Lisa Marie Manery's current location address is 2273 E Gala St Ste 100, Meridian, Idaho. You can contact this provider via phone number 2088988999 and fax number 2088988989. The mailing address for Lisa Marie Manery is 2273 E Gala St Ste 100, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Manery |
|---|---|
| Address | 2273 E Gala St Ste 100, Meridian, Idaho |
| Phone Number | 2088988999 |
| Fax Number | 2088988989 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235216466 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2273 E Gala St Ste 100 |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836427289 |
| Phone Number | 2088988999 |
| Fax Number | 2088988989 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1195 |
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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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What is the unique 10-digit identifier code issued to Lisa Marie Manery by the Centers for Medicare & Medicaid Services?
The Lisa Marie Manery has been assigned the NPI (National Provider Identifier) 1235216466 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lisa Marie Manery is located?
The Lisa Marie Manery is situated at the following address: 2273 E Gala St Ste 100, Meridian, ID, 836427289.
What is the Lisa Marie Manery's area of specialization and corresponding taxonomy classification?
The Lisa Marie Manery's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Marie Manery receive its 1235216466 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Marie Manery was assigned its 1235216466 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information related to Lisa Marie Manery most recently updated or refreshed?
The details pertaining to the Lisa Marie Manery, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1982607784
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