Mary Louise Blankenburg in Iowa City - Clinical
Mary Louise Blankenburg - NPI 1104840347
Mary Louise Blankenburg is a Clinical in Iowa City, Iowa. Mary Louise Blankenburg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Louise Blankenburg is 1104840347. The last update date is 2007-07-09.
Mary Louise Blankenburg's current location address is Po Box 1073, Iowa City, Iowa. You can contact this provider via phone number 3194002268 and fax number 3193541679. The mailing address for Mary Louise Blankenburg is Po Box 1073, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Louise Blankenburg |
|---|---|
| Address | Po Box 1073, Iowa City, Iowa |
| Phone Number | 3194002268 |
| Fax Number | 3193541679 |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1104840347 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 1073 |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522441073 |
| Phone Number | 3194002268 |
| Fax Number | 3193541679 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1283 |
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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 |
|---|---|---|---|
| 272708 | IA | -- | |
| 23547 | IA | WELLMARK/BCBS |
Post Comment/ Review Below
What is the Mary Louise Blankenburg's unique identification number?
The Mary Louise Blankenburg has been assigned the NPI (National Provider Identifier) Number 1104840347 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mary Louise Blankenburg located?
The Mary Louise Blankenburg is located at Po Box 1073, Iowa City, IA 522441073.
What is Mary Louise Blankenburg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Louise Blankenburg is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Mary Louise Blankenburg receive its 1104840347 assignment?
The Mary Louise Blankenburg was assigned its 1104840347 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary Louise Blankenburg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Louise Blankenburg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.