Dodge, Mary S
Dodge, Mary S is an individual health care provider with primary practice located at 406 S Bedford St Ste 9, Georgetown DE 19947-1850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dodge, Mary S can be contacted via phone (302) 856-9578.Contact Information
Primary practice address
406 S Bedford St Ste 9
Georgetown DE 19947-1850
Phone: (302) 856-9578
Fax: (302) 856-6297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q1-0000576 | Delaware |
Profile Details
| NPI number | 1811009954 |
|---|---|
| LBN Legal business name | Dodge, Mary S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 20th, 2010 - about 16 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 | 1811009954 | NPPES |
| Delaware | MEDICAID | 1000023538 |
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