Mark Kekoa Casey is a Clinical in Renton, Washington. Mark Kekoa Casey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Kekoa Casey is 1043423494. The last update date is 2011-12-02.
Mark Kekoa Casey's current location address is 220 S. 3rd Place, Renton, Washington. You can contact this provider via phone number 4252280074. The mailing address for Mark Kekoa Casey is 220 S. 3rd Place, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kekoa Casey |
|---|---|
| Address | 220 S. 3rd Place, Renton, Washington |
| Phone Number | 4252280074 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1043423494 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2011-12-02 |
Provider Mailing Address Detail
| Address | 220 S. 3rd Place |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980572494 |
| Phone Number | 4252280074 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2795 |
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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 provider identifier assigned to Mark Kekoa Casey?
The Mark Kekoa Casey has been issued the NPI (National Provider Identifier) 1043423494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mark Kekoa Casey's physical address?
The Mark Kekoa Casey is physically located at 220 S. 3Rd Place, in the city of Renton, WA, with the postal code 980572494.
What is Mark Kekoa Casey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Kekoa Casey is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043423494 to Mark Kekoa Casey?
The Centers for Medicare & Medicaid Services assigned the 1043423494 to Mark Kekoa Casey on 2007-05-08.
When was the information pertaining to Mark Kekoa Casey most recently updated or revised?
The details related to Mark Kekoa Casey, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-02.
NPI Number: 1972506228
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