MARTIN CLANCY NPI 1811388077

NPI Information

NPI: 1811388077
Provider Name: MARTIN CLANCY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
460 CARRIAGE WAY
DEERFIELD, IL
ZIP 60015
Phone: (847) 971-0928
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Martin Clancy is an addiction (substance use disorder) counselor in Deerfield, IL. Martin Clancy NPI is 1811388077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

460 CARRIAGE WAY
DEERFIELD, IL
ZIP 60015-533
Phone: (847) 971-0928

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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