D A Blodgett-St Johns in Grand Rapids - Clinical
D A Blodgett-St Johns - NPI 1801929435
D A Blodgett-St Johns is a Clinical in Grand Rapids, Michigan. D A Blodgett-St Johns practices all healthcare services and medical treatments related to Clinical. The NPI Number for D A Blodgett-St Johns is 1801929435. The last update date is 2023-04-26.
D A Blodgett-St Johns's current location address is 2172 Dean Lake Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164512021 and fax number 6167743842. The mailing address for D A Blodgett-St Johns is 2172 Dean Lake Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | D A Blodgett-St Johns |
|---|---|
| Address | 2172 Dean Lake Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164512021 |
| Fax Number | 6167743842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Smith Tammy |
| Telephone Number | 6164512021 |
NPI Number Detail
| NPI Number | 1801929435 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2023-04-26 |
Provider Mailing Address Detail
| Address | 2172 Dean Lake Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495054444 |
| Phone Number | 6164512021 |
| Fax Number | 6167743842 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CB410201088 |
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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 |
|---|---|---|---|
| 3243343 | MI | -- | |
| 4486650 | MI | -- | |
| 4537919 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to D A Blodgett-St Johns by the Centers for Medicare & Medicaid Services?
The D A Blodgett-St Johns has been assigned the NPI (National Provider Identifier) 1801929435. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the D A Blodgett-St Johns's physical address?
The D A Blodgett-St Johns is physically located at 2172 Dean Lake Ave Ne, in the city of Grand Rapids, MI, with the postal code 495054444.
What is the area of specialization for D A Blodgett-St Johns, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for D A Blodgett-St Johns is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did D A Blodgett-St Johns receive its 1801929435 assignment?
The D A Blodgett-St Johns was assigned its 1801929435 on 2007-03-13, which is the date when this unique identifier was issued to the organization.
When was the information related to D A Blodgett-St Johns most recently updated or refreshed?
The details pertaining to the D A Blodgett-St Johns, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-04-26.