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NPI Code Detail

MEDICARE: MRS. MARY MCINERNEY

MEDICARE:  MRS. MARY  MCINERNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255701017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY MCINERNEY
Provider Business Mailing Address
First Line : 9767 POPLAR PL
Second Line :
City : ORLANDO
State : FL
Zip : 32827-6839
Country : US
Telephone Number : 407-816-8084
Fax Number :
Provider Business Practice Location Address
First Line : 9767 POPLAR PL
Second Line :
City : ORLANDO
State : FL
Zip : 32827-6839
Country : US
Telephone Number : 407-816-8084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 10/05/2015

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Directions to “ MRS. MARY MCINERNEY ” Practice Location

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