Edmond Anders Mortensen in Bakersfield - Clinical
Edmond Anders Mortensen - NPI 1821163791
Edmond Anders Mortensen is a Clinical in Bakersfield, California. Edmond Anders Mortensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edmond Anders Mortensen is 1821163791. The last update date is 2007-07-09.
Edmond Anders Mortensen's current location address is 5500 Ming Ave, Bakersfield, California. You can contact this provider via phone number 6618322700 and fax number 6618322772. The mailing address for Edmond Anders Mortensen is 5500 Ming Ave, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmond Anders Mortensen |
|---|---|
| Address | 5500 Ming Ave, Bakersfield, California |
| Phone Number | 6618322700 |
| Fax Number | 6618322772 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1821163791 |
|---|---|
| Provider Enumeration Date | 2006-11-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5500 Ming Ave |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 933094689 |
| Phone Number | 6618322700 |
| Fax Number | 6618322772 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS5177 |
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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 10-digit identifier code assigned to Edmond Anders Mortensen by the Centers for Medicare & Medicaid Services?
The Edmond Anders Mortensen has been issued the NPI (National Provider Identifier) 1821163791 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Edmond Anders Mortensen is physically located?
The Edmond Anders Mortensen is physically situated at the following address: 5500 Ming Ave, Bakersfield, CA, 933094689.
What is the Edmond Anders Mortensen's specialty and taxonomy code?
The Edmond Anders Mortensen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Edmond Anders Mortensen receive its 1821163791 assignment from the Centers for Medicare & Medicaid Services?
The Edmond Anders Mortensen was assigned its 1821163791 on 2006-11-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Edmond Anders Mortensen most recently updated or revised?
The information pertaining to Edmond Anders Mortensen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX