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Mary Decarolis

Clinical Social Worker

22101 Moross Rd
Detroit , Michigan 48236-2148

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Mary Decarolis

Clinical Social Worker

22101 Moross Rd
Detroit , Michigan 48236-2148

(313) 417-2769

Write a Review Save Call

Mary Decarolis

Clinical Social Worker

22101 Moross Rd
Detroit , Michigan 48236-2148

(313) 417-2769 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Social Worker

Languages spoken

  • English

Location

22101 Moross Rd Detroit , Michigan 48236-2148

First Address

  • Mary Decarolis
  • 22101 Moross Rd
  • Detroit, MI
  • Zip : 48236-2148
  • Phone : (313) 417-2769

Second Address

  • Mary Decarolis
  • 22101 Moross Rd
  • Detroit, MI
  • Zip : 48236-2148
  • Phone : (313) 417-2769

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FAQs


Where did Mary Decarolis attend graduate school?

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Where did Mary Decarolis do her residency?

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Where did Mary Decarolis do her fellowship?

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Is Mary Decarolis board certified?

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What type of doctor is Mary Decarolis

Clinical Social Worker

In what state does Mary Decarolis practice in?

Michigan

Where is Mary Decarolis ’s practice located?

22101 Moross Rd , Detroit, Michigan, 48236-2148

What is Mary Decarolis ’s gender?

Female

Is Mary Decarolis a sole practitioner?

No

Is Mary Decarolis accepting new patients?

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What languages does Mary Decarolis speak?

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Does Mary Decarolis accept insurance?

Yes, Mary Decarolis accepts insurance

Does Mary Decarolis offers telemedicine?

Mary Decarolis has not indicated if she offers telemedicine

What is Mary Decarolis ’s professional license number?

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What is Mary Decarolis ’s NPI number?

1003026089

Does Mary Decarolis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1041C0700X Clinical Social Worker 6801077436 MI

National Provider Identifier

NPI 1003026089
Provider Name Mary Decarolis
First Address Detroit, MI 48236-2148
Second Address Detroit, MI 48236-2148
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/05/2007
Last Update Date 30/06/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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