Mindy Ann Eglivitch in Surprise - Clinical
Mindy Ann Eglivitch - NPI 1265632442
Mindy Ann Eglivitch is a Clinical in Surprise, Arizona. Mindy Ann Eglivitch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mindy Ann Eglivitch is 1265632442. The last update date is 2023-03-23.
Mindy Ann Eglivitch's current location address is 17670 W Caribbean Ln, Surprise, Arizona. You can contact this provider via phone number 9102617928. The mailing address for Mindy Ann Eglivitch is 17670 W Caribbean Ln, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindy Ann Eglivitch |
|---|---|
| Address | 17670 W Caribbean Ln, Surprise, Arizona |
| Phone Number | 9102617928 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265632442 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2023-03-23 |
Provider Mailing Address Detail
| Address | 17670 W Caribbean Ln |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853887731 |
| Phone Number | 9102617928 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005727 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Mindy Ann Eglivitch by the Centers for Medicare & Medicaid Services?
The Mindy Ann Eglivitch has been assigned the NPI (National Provider Identifier) 1265632442. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mindy Ann Eglivitch is physically located?
The Mindy Ann Eglivitch is situated at the following address: 17670 W Caribbean Ln, Surprise, AZ 853887731.
What is Mindy Ann Eglivitch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mindy Ann Eglivitch's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265632442 to Mindy Ann Eglivitch?
The Centers for Medicare & Medicaid Services assigned the 1265632442 to Mindy Ann Eglivitch on 2007-07-25.
When was the Mindy Ann Eglivitch's information last updated?
The Mindy Ann Eglivitch's information was last updated on 2023-03-23.
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