Theresa Lea Niederkruger in Boise - Clinical
Theresa Lea Niederkruger - NPI 1316020779
Theresa Lea Niederkruger is a Clinical in Boise, Idaho. Theresa Lea Niederkruger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa Lea Niederkruger is 1316020779. The last update date is 2012-04-24.
Theresa Lea Niederkruger's current location address is 3919 Hoover St, Boise, Idaho. You can contact this provider via phone number 2083712040. The mailing address for Theresa Lea Niederkruger is 3919 Hoover St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Lea Niederkruger |
|---|---|
| Address | 3919 Hoover St, Boise, Idaho |
| Phone Number | 2083712040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1316020779 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
| Address | 3919 Hoover St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837051433 |
| Phone Number | 2083712040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-857 |
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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 |
|---|---|---|---|
| 807382800 | ID | -- | |
| 830415084 83651 | ID | TRICARE PROVIDER NUMBER | |
| 806552901 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theresa Lea Niederkruger by the Centers for Medicare & Medicaid Services?
The Theresa Lea Niederkruger has been assigned the NPI (National Provider Identifier) 1316020779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Theresa Lea Niederkruger is physically located?
The Theresa Lea Niederkruger is situated at the following address: 3919 Hoover St, Boise, ID 837051433.
What is Theresa Lea Niederkruger's area of expertise and its corresponding taxonomy classification?
The Theresa Lea Niederkruger's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1316020779 assigned to Theresa Lea Niederkruger?
The Theresa Lea Niederkruger was issued its 1316020779 on 2006-10-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Theresa Lea Niederkruger last refreshed?
The information related to the Theresa Lea Niederkruger, including its address, specialty, and other relevant details, was last updated on 2012-04-24.