Michael Stuart Immerman in San Mateo - Clinical
Michael Stuart Immerman - NPI 1174703367
Michael Stuart Immerman is a Clinical in San Mateo, California. Michael Stuart Immerman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Stuart Immerman is 1174703367. The last update date is 2007-11-06.
Michael Stuart Immerman's current location address is 177 Bovet Rd, San Mateo, California. You can contact this provider via phone number 6505735780 and fax number 6503419680. The mailing address for Michael Stuart Immerman is 177 Bovet Rd, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Stuart Immerman |
|---|---|
| Address | 177 Bovet Rd, San Mateo, California |
| Phone Number | 6505735780 |
| Fax Number | 6503419680 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1174703367 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 177 Bovet Rd |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944023116 |
| Phone Number | 6505735780 |
| Fax Number | 6503419680 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS14796 |
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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 Michael Stuart Immerman by the Centers for Medicare & Medicaid Services?
The Michael Stuart Immerman has been issued the NPI (National Provider Identifier) 1174703367 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 Michael Stuart Immerman is physically located?
The Michael Stuart Immerman is physically situated at the following address: 177 Bovet Rd, San Mateo, CA, 944023116.
What is the Michael Stuart Immerman's specialty and taxonomy code?
The Michael Stuart Immerman's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174703367 to Michael Stuart Immerman?
The Centers for Medicare & Medicaid Services assigned the 1174703367 to Michael Stuart Immerman on 2007-11-06.
When was the information regarding Michael Stuart Immerman most recently updated?
The details pertaining to the Michael Stuart Immerman, including its address, specialty, and other relevant information, were last refreshed on 2007-11-06.