Clayton, Maureen Burke
Clayton, Maureen Burke is an sole proprietor health care provider with primary practice located at 114 Ashley Ave , Charleston SC 29401-1249. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clayton, Maureen Burke can be contacted via phone (978) 995-1731.Contact Information
Primary practice address
114 Ashley Ave
Charleston SC 29401-1249
Phone: (978) 995-1731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1022476 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11965 | South Carolina |
Profile Details
| NPI number | 1417292772 |
|---|---|
| LBN Legal business name | Clayton, Maureen Burke |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2012 |
| Last updated | Apr 5th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417292772 | NPPES |
| Massachusetts | MEDICAID | 110101615A |
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