Bruce B Dannenberger in Ottawa - Clinical
Bruce B Dannenberger - NPI 1033239728
Bruce B Dannenberger is a Clinical in Ottawa, Illinois. Bruce B Dannenberger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce B Dannenberger is 1033239728. The last update date is 2007-07-09.
Bruce B Dannenberger's current location address is 110 E Main St, Ottawa, Illinois. You can contact this provider via phone number 8154342118 and fax number 8154345253. The mailing address for Bruce B Dannenberger is 110 E Main St, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce B Dannenberger |
|---|---|
| Address | 110 E Main St, Ottawa, Illinois |
| Phone Number | 8154342118 |
| Fax Number | 8154345253 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033239728 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 110 E Main St |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 613502900 |
| Phone Number | 8154342118 |
| Fax Number | 8154345253 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149004294 |
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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 |
|---|---|---|---|
| 5007410 | IL | PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce B Dannenberger by the Centers for Medicare & Medicaid Services?
The Bruce B Dannenberger has been issued the NPI (National Provider Identifier) 1033239728 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bruce B Dannenberger is physically located?
The Bruce B Dannenberger is physically situated at the following address: 110 E Main St, Ottawa, IL, 613502900.
What is Bruce B Dannenberger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruce B Dannenberger is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1033239728 assigned to Bruce B Dannenberger?
The Bruce B Dannenberger was issued its 1033239728 on 2007-03-29, 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 related to Bruce B Dannenberger most recently updated or revised?
The information pertaining to Bruce B Dannenberger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.