Shanna D Matheson in Grand Rapids - Clinical
Shanna D Matheson - NPI 1831153550
Shanna D Matheson is a Clinical in Grand Rapids, Michigan. Shanna D Matheson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shanna D Matheson is 1831153550. The last update date is 2010-03-17.
Shanna D Matheson's current location address is 710 Kenmoor Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169549800 and fax number 6169544444. The mailing address for Shanna D Matheson is 710 Kenmoor Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna D Matheson |
|---|---|
| Address | 710 Kenmoor Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169549800 |
| Fax Number | 6169544444 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1831153550 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2010-03-17 |
Provider Mailing Address Detail
| Address | 710 Kenmoor Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462379 |
| Phone Number | 6169549800 |
| Fax Number | 6169544444 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801059166 |
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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 Shanna D Matheson by the Centers for Medicare & Medicaid Services?
The Shanna D Matheson has been assigned the NPI (National Provider Identifier) 1831153550. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shanna D Matheson's facilities are situated?
The facilities of Shanna D Matheson are physically located at the following address: 710 Kenmoor Ave Se, Grand Rapids, MI, 495462379.
What is the Shanna D Matheson's specialty and taxonomy code?
The Shanna D Matheson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Shanna D Matheson receive its 1831153550 assignment from the Centers for Medicare & Medicaid Services?
The Shanna D Matheson was assigned its 1831153550 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shanna D Matheson most recently updated or refreshed?
The details pertaining to the Shanna D Matheson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-17.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA