Saundra L Mortenson is a Clinical in Niles, Michigan. Saundra L Mortenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Saundra L Mortenson is 1952436214. The last update date is 2022-03-08.
Saundra L Mortenson's current location address is 3130 S 11th St Ste 103, Niles, Michigan. You can contact this provider via phone number 2198616156. The mailing address for Saundra L Mortenson is 3130 S 11th St Ste 103, Niles, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Saundra L Mortenson |
|---|---|
| Address | 3130 S 11th St Ste 103, Niles, Michigan |
| Phone Number | 2198616156 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1952436214 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2022-03-08 |
Provider Mailing Address Detail
| Address | 3130 S 11th St Ste 103 |
|---|---|
| City | Niles |
| State | Michigan (MI) |
| Post Code | 491204736 |
| Phone Number | 2198616156 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000157A |
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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 |
|---|---|---|---|
| MI15576 | MI | MI MEDICARE | |
| 354655 | IN | BCBS | |
| 85600000 | IN | MAGELLAN |
Post Comment/ Review Below
What is the Saundra L Mortenson's unique identification number?
The Saundra L Mortenson has been assigned the NPI (National Provider Identifier) Number 1952436214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Saundra L Mortenson located?
The Saundra L Mortenson is located at 3130 S 11Th St Ste 103, Niles, MI 491204736.
What is the Saundra L Mortenson's specialty and taxonomy code?
The Saundra L Mortenson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Saundra L Mortenson's 1952436214 issued?
The Saundra L Mortenson's 1952436214 was issued on 2007-02-23.
When was the information related to Saundra L Mortenson most recently updated or refreshed?
The details pertaining to the Saundra L Mortenson, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-08.