Mindy Ellen Bursten in Temple Terrace - Clinical
Mindy Ellen Bursten - NPI 1134268584
Mindy Ellen Bursten is a Clinical in Temple Terrace, Florida. Mindy Ellen Bursten practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mindy Ellen Bursten is 1134268584. The last update date is 2015-10-28.
Mindy Ellen Bursten's current location address is 11700 N 58th St Ste F, Temple Terrace, Florida. You can contact this provider via phone number 8139886981 and fax number 8139886983. The mailing address for Mindy Ellen Bursten is 11700 N 58th St Ste F, Temple Terrace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindy Ellen Bursten |
|---|---|
| Address | 11700 N 58th St Ste F, Temple Terrace, Florida |
| Phone Number | 8139886981 |
| Fax Number | 8139886983 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134268584 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2015-10-28 |
Provider Mailing Address Detail
| Address | 11700 N 58th St Ste F |
|---|---|
| City | Temple Terrace |
| State | Florida (FL) |
| Post Code | 336171666 |
| Phone Number | 8139886981 |
| Fax Number | 8139886983 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW2986 |
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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 identification code assigned to Mindy Ellen Bursten by the Centers for Medicare & Medicaid Services?
The Mindy Ellen Bursten has been issued the NPI (National Provider Identifier) 1134268584, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mindy Ellen Bursten?
The Mindy Ellen Bursten is situated at 11700 N 58Th St Ste F, in the city of Temple Terrace, state of FL, with the zip code 336171666.
What is Mindy Ellen Bursten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mindy Ellen Bursten is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134268584 to Mindy Ellen Bursten?
The Centers for Medicare & Medicaid Services assigned the 1134268584 to Mindy Ellen Bursten on 2007-02-05.
When was the information regarding Mindy Ellen Bursten most recently updated?
The details pertaining to the Mindy Ellen Bursten, including its address, specialty, and other relevant information, were last refreshed on 2015-10-28.