Southard Harrison Inc in Decorah - Clinical
Southard Harrison Inc - NPI 1003818956
Southard Harrison Inc is a Clinical in Decorah, Iowa. Southard Harrison Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Southard Harrison Inc is 1003818956. The last update date is 2022-07-21.
Southard Harrison Inc's current location address is 314 W Main St, Decorah, Iowa. You can contact this provider via phone number 5633822662 and fax number 5633822662. The mailing address for Southard Harrison Inc is 314 W Main St, Decorah, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southard Harrison Inc |
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Address | 314 W Main St, Decorah, Iowa |
Phone Number | 5633822662 |
Fax Number | 5633822662 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR T |
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Authorized Official Name | Southard Marilyn |
Credentials | LISW |
Telephone Number | 5633822662 |
NPI Number Detail
NPI Number | 1003818956 |
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Provider Enumeration Date | 2005-08-11 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 314 W Main St |
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City | Decorah |
State | Iowa (IA) |
Post Code | 521011716 |
Phone Number | 5633822662 |
Fax Number | 5633822662 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 |
---|---|---|---|
41019 | WELLMARK/KARLA PRESLER | ||
11880 | WELLMARK/MARILYN SOUTHARD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southard Harrison Inc by the Centers for Medicare & Medicaid Services?
The Southard Harrison Inc has been assigned the NPI (National Provider Identifier) 1003818956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Southard Harrison Inc's facilities are geographically located?
The facilities of Southard Harrison Inc are physically situated at the following location: 314 W Main St, Decorah, IA, 521011716.
What is the Southard Harrison Inc's specialty and taxonomy code?
The Southard Harrison Inc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Southard Harrison Inc receive the assignment of its 1003818956 from the Centers for Medicare & Medicaid Services?
The Southard Harrison Inc was issued its 1003818956 by the Centers for Medicare & Medicaid Services on 2005-08-11.
As of what date was the information regarding Southard Harrison Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southard Harrison Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.