Melanie Jean Nordstrom in Murphysboro - Clinical
Melanie Jean Nordstrom - NPI 1144232638
Melanie Jean Nordstrom is a Clinical in Murphysboro, Illinois. Melanie Jean Nordstrom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melanie Jean Nordstrom is 1144232638. The last update date is 2007-07-09.
Melanie Jean Nordstrom's current location address is 473 W Harrison Rd, Murphysboro, Illinois. You can contact this provider via phone number 6185652007 and fax number 6186873102. The mailing address for Melanie Jean Nordstrom is 473 W Harrison Rd, Murphysboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie Jean Nordstrom |
|---|---|
| Address | 473 W Harrison Rd, Murphysboro, Illinois |
| Phone Number | 6185652007 |
| Fax Number | 6186873102 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1144232638 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 473 W Harrison Rd |
|---|---|
| City | Murphysboro |
| State | Illinois (IL) |
| Post Code | 629664782 |
| Phone Number | 6185652007 |
| Fax Number | 6186873102 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.01001 |
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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 |
|---|---|---|---|
| 3932042 | IL | BLUE CROSS BLUE SHIELD IL |
Post Comment/ Review Below
What is the Melanie Jean Nordstrom's 1144232638?
The Melanie Jean Nordstrom's NPI (National Provider Identifier) Number is 1144232638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Melanie Jean Nordstrom's facilities are situated?
The facilities of Melanie Jean Nordstrom are physically located at the following address: 473 W Harrison Rd, Murphysboro, IL, 629664782.
What is Melanie Jean Nordstrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melanie Jean Nordstrom is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Melanie Jean Nordstrom receive the assignment of its 1144232638 from the Centers for Medicare & Medicaid Services?
The Melanie Jean Nordstrom was issued its 1144232638 by the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information pertaining to Melanie Jean Nordstrom most recently updated or revised?
The details related to Melanie Jean Nordstrom, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.