Andrew Robeson Tidrick in Fort Collins - Clinical
Andrew Robeson Tidrick - NPI 1043368186
Andrew Robeson Tidrick is a Clinical in Fort Collins, Colorado. Andrew Robeson Tidrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrew Robeson Tidrick is 1043368186. The last update date is 2013-10-28.
Andrew Robeson Tidrick's current location address is 219 W Magnolia St, Fort Collins, Colorado. You can contact this provider via phone number 5126916025 and fax number 8772262395. The mailing address for Andrew Robeson Tidrick is 219 W Magnolia St, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Robeson Tidrick |
|---|---|
| Address | 219 W Magnolia St, Fort Collins, Colorado |
| Phone Number | 5126916025 |
| Fax Number | 8772262395 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1043368186 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | 219 W Magnolia St |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805212811 |
| Phone Number | 5126916025 |
| Fax Number | 8772262395 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 27843 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11964870 | CAQH | ||
| 9923286 | CO | COLORADO LCSW | |
| 40521902 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrew Robeson Tidrick by the Centers for Medicare & Medicaid Services (CMS)?
The Andrew Robeson Tidrick has been assigned the NPI (National Provider Identifier) 1043368186. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Andrew Robeson Tidrick's physical address?
The Andrew Robeson Tidrick is physically located at 219 W Magnolia St, in the city of Fort Collins, CO, with the postal code 805212811.
What is the Andrew Robeson Tidrick's area of specialization and corresponding taxonomy classification?
The Andrew Robeson Tidrick's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1043368186 to Andrew Robeson Tidrick?
The Centers for Medicare & Medicaid Services assigned the 1043368186 to Andrew Robeson Tidrick on 2007-01-08.
When was the information regarding Andrew Robeson Tidrick most recently updated?
The details pertaining to the Andrew Robeson Tidrick, including its address, specialty, and other relevant information, were last refreshed on 2013-10-28.