Waddell, Mary J.
Waddell, Mary J. is an sole proprietor health care provider with primary practice located at 189 S State St Ste 245 , Clearfield UT 84015-1001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waddell, Mary J. can be contacted via phone (385) 240-1442.Contact Information
Primary practice address
189 S State St Ste 245
Clearfield UT 84015-1001
Phone: (385) 240-1442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7754639-3501 | Utah |
Profile Details
| NPI number | 1780917427 |
|---|---|
| LBN Legal business name | Waddell, Mary J. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2009 |
| Last updated | May 8th, 2023 - about last year |
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 | 1780917427 | NPPES |
| Utah | Other | 260022408 | RAILROAD MEDICARE |
| Utah | MEDICAID | 876000308007 | RAILROAD MEDICARE |
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