Daniel Renstrom is a Clinical in Kalamazoo, Michigan. Daniel Renstrom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel Renstrom is 1679645147. The last update date is 2007-07-08.
Daniel Renstrom's current location address is 515 E Stockbridge Ave, Kalamazoo, Michigan. You can contact this provider via phone number 2693884875 and fax number 2692765290. The mailing address for Daniel Renstrom is 515 E Stockbridge Ave, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Renstrom |
|---|---|
| Address | 515 E Stockbridge Ave, Kalamazoo, Michigan |
| Phone Number | 2693884875 |
| Fax Number | 2692765290 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1679645147 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 E Stockbridge Ave |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490012933 |
| Phone Number | 2693884875 |
| Fax Number | 2692765290 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801084943 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Daniel Renstrom by the Centers for Medicare & Medicaid Services (CMS)?
The Daniel Renstrom has been assigned the NPI (National Provider Identifier) 1679645147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Daniel Renstrom's facilities are geographically located?
The facilities of Daniel Renstrom are physically situated at the following location: 515 E Stockbridge Ave, Kalamazoo, MI, 490012933.
What is Daniel Renstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daniel Renstrom's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Daniel Renstrom receive the assignment of its 1679645147 from the Centers for Medicare & Medicaid Services?
The Daniel Renstrom was issued its 1679645147 by the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date were the details related to Daniel Renstrom most recently updated or revised?
The information pertaining to Daniel Renstrom, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.