Sally Ann Primus is a Clinical in Portage, Indiana. Sally Ann Primus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally Ann Primus is 1225228828. The last update date is 2011-07-27.
Sally Ann Primus's current location address is 3176 Lancer St, Portage, Indiana. You can contact this provider via phone number 2197629557 and fax number 2197627318. The mailing address for Sally Ann Primus is 3176 Lancer St, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally Ann Primus |
|---|---|
| Address | 3176 Lancer St, Portage, Indiana |
| Phone Number | 2197629557 |
| Fax Number | 2197627318 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1225228828 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2011-07-27 |
Provider Mailing Address Detail
| Address | 3176 Lancer St |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 46368 |
| Phone Number | 2197629557 |
| Fax Number | 2197627318 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 99027928A |
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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 |
|---|---|---|---|
| 10016380A | IN | -- |
Post Comment/ Review Below
What is the Sally Ann Primus's unique identification number?
The Sally Ann Primus has been assigned the NPI (National Provider Identifier) Number 1225228828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sally Ann Primus's facilities are geographically located?
The facilities of Sally Ann Primus are physically situated at the following location: 3176 Lancer St, Portage, IN, 46368.
What is Sally Ann Primus's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sally Ann Primus is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Sally Ann Primus receive its 1225228828?
The Sally Ann Primus was issued its 1225228828 on 2007-07-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Sally Ann Primus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sally Ann Primus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-27.