Ronald Lee Grooters in Wyoming - Clinical
Ronald Lee Grooters - NPI 1215119417
Ronald Lee Grooters is a Clinical in Wyoming, Michigan. Ronald Lee Grooters practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald Lee Grooters is 1215119417. The last update date is 2007-11-29.
Ronald Lee Grooters's current location address is 5420 Meadow Run Dr Sw, Wyoming, Michigan. You can contact this provider via phone number 6165595864 and fax number 6162816448. The mailing address for Ronald Lee Grooters is 5420 Meadow Run Dr Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Lee Grooters |
|---|---|
| Address | 5420 Meadow Run Dr Sw, Wyoming, Michigan |
| Phone Number | 6165595864 |
| Fax Number | 6162816448 |
| Sole Proprietor | Y |
| Credentials | LMSW, ACSW |
NPI Number Detail
| NPI Number | 1215119417 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 5420 Meadow Run Dr Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 495099394 |
| Phone Number | 6165595864 |
| Fax Number | 6162816448 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801061511 |
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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 Ronald Lee Grooters's unique identification number?
The Ronald Lee Grooters has been assigned the NPI (National Provider Identifier) Number 1215119417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ronald Lee Grooters is physically located?
The Ronald Lee Grooters is physically situated at the following address: 5420 Meadow Run Dr Sw, Wyoming, MI, 495099394.
What is the Ronald Lee Grooters's specialty and taxonomy code?
The Ronald Lee Grooters's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215119417 to Ronald Lee Grooters?
The Centers for Medicare & Medicaid Services assigned the 1215119417 to Ronald Lee Grooters on 2007-11-29.
As of what date was the information regarding Ronald Lee Grooters, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Lee Grooters, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-29.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN