Deborah L Grossnickle in Bloomington - Clinical
Deborah L Grossnickle - NPI 1184635559
Deborah L Grossnickle is a Clinical in Bloomington, Indiana. Deborah L Grossnickle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah L Grossnickle is 1184635559. The last update date is 2015-03-31.
Deborah L Grossnickle's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123372438. The mailing address for Deborah L Grossnickle is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah L Grossnickle |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184635559 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2015-03-31 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34005135A |
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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 Deborah L Grossnickle's 1184635559?
The Deborah L Grossnickle's NPI (National Provider Identifier) Number is 1184635559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Deborah L Grossnickle?
The Deborah L Grossnickle is physically situated at 645 S Rogers St, in the city of Bloomington, state of IN, with the postal code 474032353.
What is the Deborah L Grossnickle's specialty and taxonomy code?
The Deborah L Grossnickle's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Deborah L Grossnickle receive the assignment of its 1184635559 from the Centers for Medicare & Medicaid Services?
The Deborah L Grossnickle was issued its 1184635559 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information regarding Deborah L Grossnickle most recently updated?
The details pertaining to the Deborah L Grossnickle, including its address, specialty, and other relevant information, were last refreshed on 2015-03-31.
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