Charlene Ann Pahl is a Clinical in Portland, Michigan. Charlene Ann Pahl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charlene Ann Pahl is 1134197593. The last update date is 2007-07-08.
Charlene Ann Pahl's current location address is 212 Kent St Ste 5, Portland, Michigan. You can contact this provider via phone number 5176474600 and fax number 5176474600. The mailing address for Charlene Ann Pahl is 212 Kent St Ste 5, Portland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Ann Pahl |
|---|---|
| Address | 212 Kent St Ste 5, Portland, Michigan |
| Phone Number | 5176474600 |
| Fax Number | 5176474600 |
| Sole Proprietor | X |
| Credentials | LMSW ACSW |
NPI Number Detail
| NPI Number | 1134197593 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 212 Kent St Ste 5 |
|---|---|
| City | Portland |
| State | Michigan (MI) |
| Post Code | 48875 |
| Phone Number | 5176474600 |
| Fax Number | 5176474600 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801062387 |
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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 |
|---|---|---|---|
| 8008948970 | MI | BCBS OF MI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charlene Ann Pahl by the Centers for Medicare & Medicaid Services?
The Charlene Ann Pahl has been issued the NPI (National Provider Identifier) 1134197593 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charlene Ann Pahl is physically located?
The Charlene Ann Pahl is physically situated at the following address: 212 Kent St Ste 5, Portland, MI, 48875.
What is Charlene Ann Pahl's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charlene Ann Pahl is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Charlene Ann Pahl receive its 1134197593 assignment from the Centers for Medicare & Medicaid Services?
The Charlene Ann Pahl was assigned its 1134197593 on 2006-03-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Charlene Ann Pahl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charlene Ann Pahl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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