Kathleen Mary Bricker in Grand Rapids - Clinical
Kathleen Mary Bricker - NPI 1639276348
Kathleen Mary Bricker is a Clinical in Grand Rapids, Michigan. Kathleen Mary Bricker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Mary Bricker is 1639276348. The last update date is 2012-11-13.
Kathleen Mary Bricker's current location address is 2716 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169750700. The mailing address for Kathleen Mary Bricker is 2716 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Mary Bricker |
|---|---|
| Address | 2716 E Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169750700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1639276348 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2012-11-13 |
Provider Mailing Address Detail
| Address | 2716 E Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495466139 |
| Phone Number | 6169750700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801065590 |
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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 identifier code issued to Kathleen Mary Bricker by the Centers for Medicare & Medicaid Services?
The Kathleen Mary Bricker has been assigned the NPI (National Provider Identifier) 1639276348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kathleen Mary Bricker is physically located?
The Kathleen Mary Bricker is situated at the following address: 2716 E Paris Ave Se, Grand Rapids, MI 495466139.
What is Kathleen Mary Bricker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathleen Mary Bricker's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639276348 to Kathleen Mary Bricker?
The Centers for Medicare & Medicaid Services assigned the 1639276348 to Kathleen Mary Bricker on 2006-09-17.
When was the Kathleen Mary Bricker's information last updated?
The Kathleen Mary Bricker's information was last updated on 2012-11-13.