Jerome C Berndt in Grand Rapids - Social Worker

Jerome C Berndt - NPI 1770705337

Jerome C Berndt is a Social Worker in Grand Rapids, Minnesota. Jerome C Berndt practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Jerome C Berndt is 1770705337. The last update date is 2008-05-20.

Jerome C Berndt's current location address is 215 Se 2nd Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183261274 and fax number 2183268255. The mailing address for Jerome C Berndt is 215 Se 2nd Ave, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome C Berndt
Address 215 Se 2nd Ave, Grand Rapids, Minnesota
Phone Number 2183261274
Fax Number 2183268255
Sole Proprietor N
Credentials LICSW & LM

NPI Number Detail

NPI Number 1770705337
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 215 Se 2nd Ave
City Grand Rapids
State Minnesota (MN)
Post Code 557443615
Phone Number 2183261274
Fax Number 2183268255

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 563
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70235700 MN --
62-20162 MN UNITED BEHAVIORAL HEALTH
1009418 MN PREFERRED ONE
69264BE MN BCBS OF MINNESOTA

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FAQs about Jerome C Berndt

What is the unique identifier code issued to Jerome C Berndt by the Centers for Medicare & Medicaid Services (CMS)?

The Jerome C Berndt has been assigned the NPI (National Provider Identifier) 1770705337. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jerome C Berndt is physically located?

The Jerome C Berndt is situated at the following address: 215 Se 2Nd Ave, Grand Rapids, MN 557443615.

What is Jerome C Berndt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerome C Berndt is Social Worker, and the taxonomy code that categorizes this field of expertise is 104100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770705337 to Jerome C Berndt?

The Jerome C Berndt received its 1770705337 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date were the Jerome C Berndt's details last updated?

The information pertaining to the Jerome C Berndt, including its address, specialty, and other details, was most recently updated on 2008-05-20.

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