Sonja Renee Bandstra in Grayslake - Clinical
Sonja Renee Bandstra - NPI 1184892747
Sonja Renee Bandstra is a Clinical in Grayslake, Illinois. Sonja Renee Bandstra practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sonja Renee Bandstra is 1184892747. The last update date is 2013-08-29.
Sonja Renee Bandstra's current location address is Po Box 853, Grayslake, Illinois. You can contact this provider via phone number 8475998135. The mailing address for Sonja Renee Bandstra is Po Box 853, Grayslake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sonja Renee Bandstra |
|---|---|
| Address | Po Box 853, Grayslake, Illinois |
| Phone Number | 8475998135 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184892747 |
|---|---|
| Provider Enumeration Date | 2008-02-18 |
| Last Updated Date | 2013-08-29 |
Provider Mailing Address Detail
| Address | Po Box 853 |
|---|---|
| City | Grayslake |
| State | Illinois (IL) |
| Post Code | 600300853 |
| Phone Number | 8475998135 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012572 |
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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 identifier code issued to Sonja Renee Bandstra by the Centers for Medicare & Medicaid Services?
The Sonja Renee Bandstra has been assigned the NPI (National Provider Identifier) 1184892747 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sonja Renee Bandstra's physical address?
The Sonja Renee Bandstra is physically located at Po Box 853, in the city of Grayslake, IL, with the postal code 600300853.
What is Sonja Renee Bandstra's area of expertise and its corresponding taxonomy classification?
The Sonja Renee Bandstra'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 1184892747 assigned to Sonja Renee Bandstra?
The Sonja Renee Bandstra was issued its 1184892747 on 2008-02-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sonja Renee Bandstra most recently updated or revised?
The details related to Sonja Renee Bandstra, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-29.
NPI Number: 1932102142
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