Mary Carol Kennedy is a Clinical in Saco, Maine. Mary Carol Kennedy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Carol Kennedy is 1720264336. The last update date is 2008-05-22.
Mary Carol Kennedy's current location address is 4 Scammon St, Saco, Maine. You can contact this provider via phone number 2072841173. The mailing address for Mary Carol Kennedy is 4 Scammon St, Saco, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Carol Kennedy |
|---|---|
| Address | 4 Scammon St, Saco, Maine |
| Phone Number | 2072841173 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1720264336 |
|---|---|
| Provider Enumeration Date | 2008-01-14 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 4 Scammon St |
|---|---|
| City | Saco |
| State | Maine (ME) |
| Post Code | 40725121 |
| Phone Number | 2072841173 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC4943 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200938 | ME | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Carol Kennedy by the Centers for Medicare & Medicaid Services?
The Mary Carol Kennedy has been assigned the NPI (National Provider Identifier) 1720264336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary Carol Kennedy?
The Mary Carol Kennedy is situated at 4 Scammon St, in the city of Saco, state of ME, with the zip code 40725121.
What is Mary Carol Kennedy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Carol Kennedy is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Mary Carol Kennedy's 1720264336 issued?
The Mary Carol Kennedy's 1720264336 was issued on 2008-01-14.
As of what date were the Mary Carol Kennedy's details last updated?
The information pertaining to the Mary Carol Kennedy, including its address, specialty, and other details, was most recently updated on 2008-05-22.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA