Michael Paul Vanderwalker in Jackson - Clinical

Michael Paul Vanderwalker - NPI 1902961766

Michael Paul Vanderwalker is a Clinical in Jackson, Michigan. Michael Paul Vanderwalker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Paul Vanderwalker is 1902961766. The last update date is 2022-03-23.

Michael Paul Vanderwalker's current location address is 153 Mohawk Street, Jackson, Michigan. You can contact this provider via phone number 5177826674 and fax number 5177826742. The mailing address for Michael Paul Vanderwalker is 153 Mohawk Street, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Paul Vanderwalker
Address 153 Mohawk Street, Jackson, Michigan
Phone Number 5177826674
Fax Number 5177826742
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1902961766
Provider Enumeration Date 2006-12-22
Last Updated Date 2022-03-23

Provider Mailing Address Detail

Address 153 Mohawk Street
City Jackson
State Michigan (MI)
Post Code 492035349
Phone Number 5177826674
Fax Number 5177826742

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801046901
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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FAQs about Michael Paul Vanderwalker

What is the unique identifier code issued to Michael Paul Vanderwalker by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Paul Vanderwalker has been assigned the NPI (National Provider Identifier) 1902961766. 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 Michael Paul Vanderwalker is physically located?

The Michael Paul Vanderwalker is physically situated at the following address: 153 Mohawk Street, Jackson, MI, 492035349.

What is the area of specialization for Michael Paul Vanderwalker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael Paul Vanderwalker is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did Michael Paul Vanderwalker receive its 1902961766 assignment from the Centers for Medicare & Medicaid Services?

The Michael Paul Vanderwalker was assigned its 1902961766 on 2006-12-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michael Paul Vanderwalker most recently updated or revised?

The information pertaining to Michael Paul Vanderwalker, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-23.

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