Diane Gail Russell in Roseville - Clinical
Diane Gail Russell - NPI 1245380781
Diane Gail Russell is a Clinical in Roseville, Michigan. Diane Gail Russell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Gail Russell is 1245380781. The last update date is 2007-07-08.
Diane Gail Russell's current location address is 25869 Kelly Rd, Roseville, Michigan. You can contact this provider via phone number 5867736020 and fax number 5867736093. The mailing address for Diane Gail Russell is 25869 Kelly Rd, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Gail Russell |
|---|---|
| Address | 25869 Kelly Rd, Roseville, Michigan |
| Phone Number | 5867736020 |
| Fax Number | 5867736093 |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1245380781 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25869 Kelly Rd |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480664997 |
| Phone Number | 5867736020 |
| Fax Number | 5867736093 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801066657 |
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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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What is the unique 10-digit identification code issued to Diane Gail Russell by the Centers for Medicare & Medicaid Services?
The Diane Gail Russell has been assigned the NPI (National Provider Identifier) 1245380781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Diane Gail Russell?
The Diane Gail Russell is situated at 25869 Kelly Rd, in the city of Roseville, state of MI, with the zip code 480664997.
What is Diane Gail Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane Gail Russell'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 Centers for Medicare & Medicaid Services originally issue the 1245380781 to Diane Gail Russell?
The Centers for Medicare & Medicaid Services originally issued the 1245380781 to Diane Gail Russell on 2007-01-10.
As of what date were the details pertaining to Diane Gail Russell last refreshed?
The information related to the Diane Gail Russell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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