Erica Thomas Immenschuh in Shawnee - Clinical

Erica Thomas Immenschuh - NPI 1912017849

Erica Thomas Immenschuh is a Clinical in Shawnee, Kansas. Erica Thomas Immenschuh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Erica Thomas Immenschuh is 1912017849. The last update date is 2010-07-23.

Erica Thomas Immenschuh's current location address is 6440 Nieman Rd, Shawnee, Kansas. You can contact this provider via phone number 9139629955. The mailing address for Erica Thomas Immenschuh is 6440 Nieman Rd, Shawnee, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Erica Thomas Immenschuh
Address 6440 Nieman Rd, Shawnee, Kansas
Phone Number 9139629955
Fax Number
Sole Proprietor N
Credentials LSCSW

NPI Number Detail

NPI Number 1912017849
Provider Enumeration Date 2006-08-30
Last Updated Date 2010-07-23

Provider Mailing Address Detail

Address 6440 Nieman Rd
City Shawnee
State Kansas (KS)
Post Code 662033326
Phone Number 9139629955
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2047
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
26787012 BCBS OF KC
100098010 KS --

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FAQs about Erica Thomas Immenschuh

What is the unique identifier code issued to Erica Thomas Immenschuh by the Centers for Medicare & Medicaid Services (CMS)?

The Erica Thomas Immenschuh has been assigned the NPI (National Provider Identifier) 1912017849. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Erica Thomas Immenschuh is geographically located?

The Erica Thomas Immenschuh is physically situated at the following location: 6440 Nieman Rd, Shawnee, KS, 662033326.

What is the Erica Thomas Immenschuh's specialty and taxonomy code?

The Erica Thomas Immenschuh's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Erica Thomas Immenschuh receive its 1912017849 assignment from the Centers for Medicare & Medicaid Services?

The Erica Thomas Immenschuh was assigned its 1912017849 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information pertaining to Erica Thomas Immenschuh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Erica Thomas Immenschuh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-23.

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