Luetta Burdick is a Clinical in Benton Harbor, Michigan. Luetta Burdick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Luetta Burdick is 1619026234. The last update date is 2007-07-08.
Luetta Burdick's current location address is 1850 Colfax Ave, Benton Harbor, Michigan. You can contact this provider via phone number 2699266199 and fax number 2699266780. The mailing address for Luetta Burdick is 1850 Colfax Ave, Benton Harbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luetta Burdick |
|---|---|
| Address | 1850 Colfax Ave, Benton Harbor, Michigan |
| Phone Number | 2699266199 |
| Fax Number | 2699266780 |
| Sole Proprietor | N |
| Credentials | CSW |
NPI Number Detail
| NPI Number | 1619026234 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1850 Colfax Ave |
|---|---|
| City | Benton Harbor |
| State | Michigan (MI) |
| Post Code | 490226753 |
| Phone Number | 2699266199 |
| Fax Number | 2699266780 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801015570 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Luetta Burdick?
The Luetta Burdick has been issued the NPI (National Provider Identifier) 1619026234 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Luetta Burdick's physical address?
The Luetta Burdick is physically located at 1850 Colfax Ave, in the city of Benton Harbor, MI, with the postal code 490226753.
What is the area of specialization for Luetta Burdick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Luetta Burdick is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619026234 to Luetta Burdick?
The Centers for Medicare & Medicaid Services originally issued the 1619026234 to Luetta Burdick on 2007-01-10.
As of what date was the information regarding Luetta Burdick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Luetta Burdick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.