Donevan B Neider is a Clinical in Idaho Falls, Idaho. Donevan B Neider practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donevan B Neider is 1447294004. The last update date is 2009-05-06.
Donevan B Neider's current location address is 1522 Elk Creek Drive, Idaho Falls, Idaho. You can contact this provider via phone number 2085520920 and fax number 2085292564. The mailing address for Donevan B Neider is 1522 Elk Creek Drive, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donevan B Neider |
|---|---|
| Address | 1522 Elk Creek Drive, Idaho Falls, Idaho |
| Phone Number | 2085520920 |
| Fax Number | 2085292564 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447294004 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 1522 Elk Creek Drive |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2085520920 |
| Fax Number | 2085292564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-27313 |
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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 issued to Donevan B Neider by the Centers for Medicare & Medicaid Services?
The Donevan B Neider has been assigned the NPI (National Provider Identifier) 1447294004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Donevan B Neider is physically located?
The Donevan B Neider is physically situated at the following address: 1522 Elk Creek Drive, Idaho Falls, ID, 83404.
What is Donevan B Neider's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Donevan B Neider is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447294004 to Donevan B Neider?
The Centers for Medicare & Medicaid Services originally issued the 1447294004 to Donevan B Neider on 2006-06-15.
As of what date was the information regarding Donevan B Neider, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donevan B Neider, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY