Clendenin, Mary Ann
Clendenin, Mary Ann is an individual health care provider with primary practice located at 899 N Wilmot Rd Ste B , Tucson AZ 85711-1712. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clendenin, Mary Ann can be contacted via phone (520) 290-1100.Contact Information
Primary practice address
899 N Wilmot Rd Ste B
Tucson AZ 85711-1712
Phone: (520) 290-1100
Fax: (520) 290-8997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC7363 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-12846 | Arizona |
Profile Details
| NPI number | 1891764544 |
|---|---|
| LBN Legal business name | Clendenin, Mary Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jan 9th, 2021 - about 4 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 | 1891764544 | NPPES |
| Arizona | MEDICAID | 571662 |
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