Lisa Louise Dittmer in West Des Moines - Clinical
Lisa Louise Dittmer - NPI 1053389155
Lisa Louise Dittmer is a Clinical in West Des Moines, Iowa. Lisa Louise Dittmer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Louise Dittmer is 1053389155. The last update date is 2007-07-08.
Lisa Louise Dittmer's current location address is 1003 Grand Avenue, West Des Moines, Iowa. You can contact this provider via phone number 5152671003 and fax number 5152670100. The mailing address for Lisa Louise Dittmer is 1003 Grand Avenue, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Louise Dittmer |
|---|---|
| Address | 1003 Grand Avenue, West Des Moines, Iowa |
| Phone Number | 5152671003 |
| Fax Number | 5152670100 |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1053389155 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1003 Grand Avenue |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502653502 |
| Phone Number | 5152671003 |
| Fax Number | 5152670100 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2271 |
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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 |
|---|---|---|---|
| IA0127 | IA | JOHN DEERE HC | |
| 49480 | IA | BLUE SHIELD | |
| 1045898 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa Louise Dittmer by the Centers for Medicare & Medicaid Services?
The Lisa Louise Dittmer has been issued the NPI (National Provider Identifier) 1053389155 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Louise Dittmer is physically located?
The Lisa Louise Dittmer is situated at the following address: 1003 Grand Avenue, West Des Moines, IA 502653502.
What is the area of specialization for Lisa Louise Dittmer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Louise Dittmer is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Lisa Louise Dittmer receive its 1053389155 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Louise Dittmer was assigned its 1053389155 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date were the details pertaining to Lisa Louise Dittmer last refreshed?
The information related to the Lisa Louise Dittmer, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
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