Mark Edwin Westrate in Grand Rapids - Clinical
Mark Edwin Westrate - NPI 1912193749
Mark Edwin Westrate is a Clinical in Grand Rapids, Michigan. Mark Edwin Westrate practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Edwin Westrate is 1912193749. The last update date is 2011-10-06.
Mark Edwin Westrate's current location address is Po Box 1767, Grand Rapids, Michigan. You can contact this provider via phone number 6163966285 and fax number 6163966285. The mailing address for Mark Edwin Westrate is Po Box 1767, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edwin Westrate |
|---|---|
| Address | Po Box 1767, Grand Rapids, Michigan |
| Phone Number | 6163966285 |
| Fax Number | 6163966285 |
| Sole Proprietor | Y |
| Credentials | LMSW, CAAD |
NPI Number Detail
| NPI Number | 1912193749 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2011-10-06 |
Provider Mailing Address Detail
| Address | Po Box 1767 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495011767 |
| Phone Number | 6163966285 |
| Fax Number | 6163966285 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801069472 |
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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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What is the unique identifier code issued to Mark Edwin Westrate by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Edwin Westrate has been assigned the NPI (National Provider Identifier) 1912193749. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mark Edwin Westrate located?
The Mark Edwin Westrate is located at Po Box 1767, Grand Rapids, MI 495011767.
What is Mark Edwin Westrate's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Edwin Westrate is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912193749 to Mark Edwin Westrate?
The Centers for Medicare & Medicaid Services originally issued the 1912193749 to Mark Edwin Westrate on 2007-09-14.
When was the information pertaining to Mark Edwin Westrate most recently updated or revised?
The details related to Mark Edwin Westrate, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-06.
NPI Number: 1235130048
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