Laila Pedersen Fingerhut in South Bend - Clinical
Laila Pedersen Fingerhut - NPI 1427129923
Laila Pedersen Fingerhut is a Clinical in South Bend, Indiana. Laila Pedersen Fingerhut practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laila Pedersen Fingerhut is 1427129923. The last update date is 2011-01-20.
Laila Pedersen Fingerhut's current location address is 17917 Killington Dr, South Bend, Indiana. You can contact this provider via phone number 5742912645 and fax number 5742913700. The mailing address for Laila Pedersen Fingerhut is 17917 Killington Dr, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laila Pedersen Fingerhut |
|---|---|
| Address | 17917 Killington Dr, South Bend, Indiana |
| Phone Number | 5742912645 |
| Fax Number | 5742913700 |
| Sole Proprietor | Y |
| Credentials | LCSW LMFT |
NPI Number Detail
| NPI Number | 1427129923 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2011-01-20 |
Provider Mailing Address Detail
| Address | 17917 Killington Dr |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466149773 |
| Phone Number | 5742912645 |
| Fax Number | 5742913700 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34002895A |
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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 |
|---|---|---|---|
| 11627900 | IN | CAQH | |
| 100113330 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laila Pedersen Fingerhut by the Centers for Medicare & Medicaid Services?
The Laila Pedersen Fingerhut has been issued the NPI (National Provider Identifier) 1427129923, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Laila Pedersen Fingerhut?
The Laila Pedersen Fingerhut is physically situated at 17917 Killington Dr, in the city of South Bend, state of IN, with the postal code 466149773.
What is the Laila Pedersen Fingerhut's area of specialization and corresponding taxonomy classification?
The Laila Pedersen Fingerhut's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1427129923 to Laila Pedersen Fingerhut?
The Laila Pedersen Fingerhut received its 1427129923 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date was the information pertaining to Laila Pedersen Fingerhut, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Laila Pedersen Fingerhut, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-20.