Marilyn K Southard is a Clinical in Decorah, Iowa. Marilyn K Southard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilyn K Southard is 1578636320. The last update date is 2007-07-08.
Marilyn K Southard's current location address is 314 W Main St, Decorah, Iowa. You can contact this provider via phone number 5633822662 and fax number 5633825269. The mailing address for Marilyn K Southard is 314 W Main St, Decorah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn K Southard |
|---|---|
| Address | 314 W Main St, Decorah, Iowa |
| Phone Number | 5633822662 |
| Fax Number | 5633825269 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1578636320 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 314 W Main St |
|---|---|
| City | Decorah |
| State | Iowa (IA) |
| Post Code | 52101 |
| Phone Number | 5633822662 |
| Fax Number | 5633825269 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 221 |
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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 identification code assigned to Marilyn K Southard by the Centers for Medicare & Medicaid Services?
The Marilyn K Southard has been issued the NPI (National Provider Identifier) 1578636320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marilyn K Southard?
The Marilyn K Southard is situated at 314 W Main St, in the city of Decorah, state of IA, with the zip code 52101.
What is the Marilyn K Southard's area of specialization and corresponding taxonomy classification?
The Marilyn K Southard'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 Marilyn K Southard receive its 1578636320 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn K Southard was assigned its 1578636320 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information related to Marilyn K Southard most recently updated or refreshed?
The details pertaining to the Marilyn K Southard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.