Katinka A Keith is a Clinical in Waterloo, Iowa. Katinka A Keith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katinka A Keith is 1790776433. The last update date is 2007-07-08.
Katinka A Keith's current location address is 2055 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192722112 and fax number 3192722107. The mailing address for Katinka A Keith is 2055 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katinka A Keith |
|---|---|
| Address | 2055 Kimball Ave, Waterloo, Iowa |
| Phone Number | 3192722112 |
| Fax Number | 3192722107 |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1790776433 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2055 Kimball Ave |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507025014 |
| Phone Number | 3192722112 |
| Fax Number | 3192722107 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 745 |
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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 |
|---|---|---|---|
| 1144634 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Katinka A Keith?
The Katinka A Keith has been issued the NPI (National Provider Identifier) 1790776433 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Katinka A Keith?
The Katinka A Keith is situated at 2055 Kimball Ave, in the city of Waterloo, state of IA, with the zip code 507025014.
What is Katinka A Keith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katinka A Keith's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1790776433 assigned to Katinka A Keith?
The Katinka A Keith was issued its 1790776433 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Katinka A Keith most recently updated or revised?
The information pertaining to Katinka A Keith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.