Wanda Hendrickson in Grand Rapids - Clinical
Wanda Hendrickson - NPI 1336286491
Wanda Hendrickson is a Clinical in Grand Rapids, Michigan. Wanda Hendrickson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wanda Hendrickson is 1336286491. The last update date is 2007-07-08.
Wanda Hendrickson's current location address is Po Box 294, Grand Rapids, Michigan. You can contact this provider via phone number 6162247617 and fax number 6162247593. The mailing address for Wanda Hendrickson is Po Box 294, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wanda Hendrickson |
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Address | Po Box 294, Grand Rapids, Michigan |
Phone Number | 6162247617 |
Fax Number | 6162247593 |
Sole Proprietor | N |
Credentials | LMFT, LMSW |
NPI Number Detail
NPI Number | 1336286491 |
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Provider Enumeration Date | 2007-01-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 294 |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495010294 |
Phone Number | 6162247617 |
Fax Number | 6162247593 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4101005850 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4483587 | MI | -- |
Post Comment/ Review Below
What is the Wanda Hendrickson's unique identification number?
The Wanda Hendrickson has been assigned the NPI (National Provider Identifier) Number 1336286491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Wanda Hendrickson is geographically located?
The Wanda Hendrickson is physically situated at the following location: Po Box 294, Grand Rapids, MI, 495010294.
What is the Wanda Hendrickson's specialty and taxonomy code?
The Wanda Hendrickson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336286491 to Wanda Hendrickson?
The Centers for Medicare & Medicaid Services assigned the 1336286491 to Wanda Hendrickson on 2007-01-30.
As of what date was the information regarding Wanda Hendrickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wanda Hendrickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.