Diane Rae Grinnell is a Clinical in Eagan, Minnesota. Diane Rae Grinnell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Rae Grinnell is 1649366808. The last update date is 2018-03-21.
Diane Rae Grinnell's current location address is 3450 Oleary Ln, Eagan, Minnesota. You can contact this provider via phone number 6514540114 and fax number 6514543492. The mailing address for Diane Rae Grinnell is 3450 Oleary Ln, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Rae Grinnell |
|---|---|
| Address | 3450 Oleary Ln, Eagan, Minnesota |
| Phone Number | 6514540114 |
| Fax Number | 6514543492 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1649366808 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2018-03-21 |
Provider Mailing Address Detail
| Address | 3450 Oleary Ln |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551232340 |
| Phone Number | 6514540114 |
| Fax Number | 6514543492 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8942 |
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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 |
|---|---|---|---|
| 60F01GR | MN | BCBS | |
| 62-60394 | MN | UBH | |
| 18757700 | MN | MN CARE | |
| 123136 | FM | UCARE | |
| HP17977 | MN | HEALTHPARTNERS | |
| 41-1546550 | MN | BHP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diane Rae Grinnell by the Centers for Medicare & Medicaid Services?
The Diane Rae Grinnell has been assigned the NPI (National Provider Identifier) 1649366808 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Diane Rae Grinnell's physical address?
The Diane Rae Grinnell is physically located at 3450 Oleary Ln, in the city of Eagan, MN, with the postal code 551232340.
What is the Diane Rae Grinnell's specialty and taxonomy code?
The Diane Rae Grinnell's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Diane Rae Grinnell receive its 1649366808 assignment?
The Diane Rae Grinnell was assigned its 1649366808 on 2006-10-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Diane Rae Grinnell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diane Rae Grinnell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-21.
NPI Number: 1235137506
Address: Po Box 720157, Mcallen, TX