Bonita B Schrock is a Clinical in Goshen, Indiana. Bonita B Schrock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonita B Schrock is 1194761478. The last update date is 2011-08-09.
Bonita B Schrock's current location address is 330 Lakeview Dr, Goshen, Indiana. You can contact this provider via phone number 5745331234 and fax number 5745372652. The mailing address for Bonita B Schrock is 330 Lakeview Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonita B Schrock |
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Address | 330 Lakeview Dr, Goshen, Indiana |
Phone Number | 5745331234 |
Fax Number | 5745372652 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1194761478 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2011-08-09 |
Provider Mailing Address Detail
Address | 330 Lakeview Dr |
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City | Goshen |
State | Indiana (IN) |
Post Code | 465289365 |
Phone Number | 5745331234 |
Fax Number | 5745372652 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 34000476A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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204390 | IN | ANTHEM |
Post Comment/ Review Below
What is the Bonita B Schrock's 1194761478?
The Bonita B Schrock's NPI (National Provider Identifier) Number is 1194761478. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bonita B Schrock is located?
The Bonita B Schrock is situated at the following address: 330 Lakeview Dr, Goshen, IN, 465289365.
What is Bonita B Schrock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonita B Schrock is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Bonita B Schrock receive the assignment of its 1194761478 from the Centers for Medicare & Medicaid Services?
The Bonita B Schrock was issued its 1194761478 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date was the information pertaining to Bonita B Schrock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonita B Schrock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY