Brent Clemenz is a Clinical in Lafayette, Indiana. Brent Clemenz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brent Clemenz is 1710003363. The last update date is 2007-07-08.
Brent Clemenz's current location address is 670 N 36th St, Lafayette, Indiana. You can contact this provider via phone number 7654468412. The mailing address for Brent Clemenz is 670 N 36th St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Clemenz |
|---|---|
| Address | 670 N 36th St, Lafayette, Indiana |
| Phone Number | 7654468412 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710003363 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 670 N 36th St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479054474 |
| Phone Number | 7654468412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34005245A |
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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 identification code issued to Brent Clemenz by the Centers for Medicare & Medicaid Services?
The Brent Clemenz has been assigned the NPI (National Provider Identifier) 1710003363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Brent Clemenz?
The Brent Clemenz is physically situated at 670 N 36Th St, in the city of Lafayette, state of IN, with the postal code 479054474.
What is Brent Clemenz's area of expertise and its corresponding taxonomy classification?
The Brent Clemenz'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 did Brent Clemenz receive its 1710003363 assignment from the Centers for Medicare & Medicaid Services?
The Brent Clemenz was assigned its 1710003363 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brent Clemenz last refreshed?
The information related to the Brent Clemenz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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