Theresa Dawn Stack in Traverse City - Clinical
Theresa Dawn Stack - NPI 1427251909
Theresa Dawn Stack is a Clinical in Traverse City, Michigan. Theresa Dawn Stack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa Dawn Stack is 1427251909. The last update date is 2007-07-08.
Theresa Dawn Stack's current location address is 512 S Union St, Traverse City, Michigan. You can contact this provider via phone number 2319416550 and fax number 2319418981. The mailing address for Theresa Dawn Stack is 512 S Union St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theresa Dawn Stack |
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Address | 512 S Union St, Traverse City, Michigan |
Phone Number | 2319416550 |
Fax Number | 2319418981 |
Sole Proprietor | Y |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1427251909 |
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Provider Enumeration Date | 2007-06-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 512 S Union St |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496843247 |
Phone Number | 2319416550 |
Fax Number | 2319418981 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801019505 |
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 identifier code issued to Theresa Dawn Stack by the Centers for Medicare & Medicaid Services?
The Theresa Dawn Stack has been assigned the NPI (National Provider Identifier) 1427251909. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Theresa Dawn Stack is physically located?
The Theresa Dawn Stack is situated at the following address: 512 S Union St, Traverse City, MI 496843247.
What is Theresa Dawn Stack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theresa Dawn Stack is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Theresa Dawn Stack receive the assignment of its 1427251909 from the Centers for Medicare & Medicaid Services?
The Theresa Dawn Stack was issued its 1427251909 by the Centers for Medicare & Medicaid Services on 2007-06-11.
As of what date were the details related to Theresa Dawn Stack most recently updated or revised?
The information pertaining to Theresa Dawn Stack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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