Terry Duane Speese in Grand Rapids - Clinical
Terry Duane Speese - NPI 1144311200
Terry Duane Speese is a Clinical in Grand Rapids, Michigan. Terry Duane Speese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Duane Speese is 1144311200. The last update date is 2012-08-01.
Terry Duane Speese's current location address is 1471 Grace St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169132024. The mailing address for Terry Duane Speese is 1471 Grace St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Duane Speese |
|---|---|
| Address | 1471 Grace St Se, Grand Rapids, Michigan |
| Phone Number | 6169132024 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1144311200 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2012-08-01 |
Provider Mailing Address Detail
| Address | 1471 Grace St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495061678 |
| Phone Number | 6169132024 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801080951 |
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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 |
|---|---|---|---|
| 800D162220 | MI | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Duane Speese by the Centers for Medicare & Medicaid Services (CMS)?
The Terry Duane Speese has been assigned the NPI (National Provider Identifier) 1144311200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terry Duane Speese is physically located?
The Terry Duane Speese is physically situated at the following address: 1471 Grace St Se, Grand Rapids, MI, 495061678.
What is Terry Duane Speese's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Terry Duane Speese is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Terry Duane Speese receive its 1144311200 assignment?
The Terry Duane Speese was assigned its 1144311200 on 2006-09-27, which is the date when this unique identifier was issued to the organization.
When was the Terry Duane Speese's information last updated?
The Terry Duane Speese's information was last updated on 2012-08-01.