| Martha Tierney Lcsw Llc | |
|
2530 W Iowa St Chicago IL 60622-7249 | |
| (555) 555-1212 | |
| Not Available |
| Full Name | Martha Tierney Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2530 W Iowa St, Chicago, Illinois |
| Authorized Official Name and Position | Martha T Tierney (PRESIDENT) |
| Authorized Official Contact | 6127206136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Tierney Lcsw Llc 2530 W Iowa St Chicago IL 60622-7249 Ph: (555) 555-1212 | Martha Tierney Lcsw Llc 2530 W Iowa St Chicago IL 60622-7249 Ph: (555) 555-1212 |
| NPI Number | 1700618469 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 2567994601 |
|---|---|
| Medicare Enrollment ID | O20241015001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700618469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Martha Tierney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578842142 PECOS PAC ID: 0244528248 Enrollment ID: I20161006001443 |
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