Corrie A Sjoblom in Grand Rapids - Clinical
Corrie A Sjoblom - NPI 1326108762
Corrie A Sjoblom is a Clinical in Grand Rapids, Michigan. Corrie A Sjoblom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Corrie A Sjoblom is 1326108762. The last update date is 2016-09-27.
Corrie A Sjoblom's current location address is 901 Eastern Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169658004. The mailing address for Corrie A Sjoblom is 901 Eastern Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corrie A Sjoblom |
|---|---|
| Address | 901 Eastern Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6169658004 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1326108762 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2016-09-27 |
Provider Mailing Address Detail
| Address | 901 Eastern Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031201 |
| Phone Number | 6169658004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801095306 |
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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 |
|---|---|---|---|
| 1712452 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Corrie A Sjoblom?
The Corrie A Sjoblom has been issued the NPI (National Provider Identifier) 1326108762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Corrie A Sjoblom is geographically located?
The Corrie A Sjoblom is physically situated at the following location: 901 Eastern Ave Ne, Grand Rapids, MI, 495031201.
What is the area of specialization for Corrie A Sjoblom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Corrie A Sjoblom is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did the Corrie A Sjoblom receive its 1326108762?
The Corrie A Sjoblom was issued its 1326108762 on 2006-12-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Corrie A Sjoblom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Corrie A Sjoblom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-27.
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