Lynn David Olsen is a Clinical in Pocatello, Idaho. Lynn David Olsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynn David Olsen is 1497955009. The last update date is 2016-07-05.
Lynn David Olsen's current location address is 1169 Call Creek Dr Ste B, Pocatello, Idaho. You can contact this provider via phone number 2082327780. The mailing address for Lynn David Olsen is 1169 Call Creek Dr Ste B, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn David Olsen |
|---|---|
| Address | 1169 Call Creek Dr Ste B, Pocatello, Idaho |
| Phone Number | 2082327780 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497955009 |
|---|---|
| Provider Enumeration Date | 2007-07-21 |
| Last Updated Date | 2016-07-05 |
Provider Mailing Address Detail
| Address | 1169 Call Creek Dr Ste B |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832013077 |
| Phone Number | 2082327780 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 744 |
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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 identifier code issued to Lynn David Olsen by the Centers for Medicare & Medicaid Services?
The Lynn David Olsen has been assigned the NPI (National Provider Identifier) 1497955009. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lynn David Olsen is located?
The Lynn David Olsen is situated at the following address: 1169 Call Creek Dr Ste B, Pocatello, ID, 832013077.
What is the Lynn David Olsen's specialty and taxonomy code?
The Lynn David Olsen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497955009 to Lynn David Olsen?
The Lynn David Olsen received its 1497955009 assignment from the Centers for Medicare & Medicaid Services on 2007-07-21.
As of what date were the details pertaining to Lynn David Olsen last refreshed?
The information related to the Lynn David Olsen, including its address, specialty, and other relevant details, was last updated on 2016-07-05.
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