Healthcare Provider Details

I. General information

NPI: 1679404297
Provider Name (Legal Business Name): MARIAH MCNAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIAH THOMPSON

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JONES ST
DUBUQUE IA
52001-7615
US

IV. Provider business mailing address

2241 GARFIELD AVE
DUBUQUE IA
52001-1412
US

V. Phone/Fax

Practice location:
  • Phone: 515-850-6187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: