Sara J Boersma is a Clinical in Muskegon, Michigan. Sara J Boersma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sara J Boersma is 1366547929. The last update date is 2020-11-03.
Sara J Boersma's current location address is 1576 Peck St, Muskegon, Michigan. You can contact this provider via phone number 2318555511 and fax number 2317257241. The mailing address for Sara J Boersma is 1576 Peck St, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara J Boersma |
|---|---|
| Address | 1576 Peck St, Muskegon, Michigan |
| Phone Number | 2318555511 |
| Fax Number | 2317257241 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1366547929 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-11-03 |
Provider Mailing Address Detail
| Address | 1576 Peck St |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494412547 |
| Phone Number | 2318555511 |
| Fax Number | 2317257241 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801080329 |
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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 |
|---|---|---|---|
| SB080329 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sara J Boersma by the Centers for Medicare & Medicaid Services?
The Sara J Boersma has been issued the NPI (National Provider Identifier) 1366547929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Sara J Boersma's physical address?
The Sara J Boersma is physically located at 1576 Peck St, in the city of Muskegon, MI, with the postal code 494412547.
What is Sara J Boersma's area of expertise and its corresponding taxonomy classification?
The Sara J Boersma's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1366547929 to Sara J Boersma?
The Sara J Boersma received its 1366547929 assignment from the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date were the details pertaining to Sara J Boersma last refreshed?
The information related to the Sara J Boersma, including its address, specialty, and other relevant details, was last updated on 2020-11-03.