Jill Diane Boike is a Clinical in Blaine, Minnesota. Jill Diane Boike practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Diane Boike is 1386702561. The last update date is 2014-02-19.
Jill Diane Boike's current location address is 11800 Aberdeen St Ne, Blaine, Minnesota. You can contact this provider via phone number 7632700054 and fax number 7632086371. The mailing address for Jill Diane Boike is 11800 Aberdeen St Ne, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Diane Boike |
|---|---|
| Address | 11800 Aberdeen St Ne, Blaine, Minnesota |
| Phone Number | 7632700054 |
| Fax Number | 7632086371 |
| Sole Proprietor | Y |
| Credentials | L.I.C.S.W. |
NPI Number Detail
| NPI Number | 1386702561 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 11800 Aberdeen St Ne |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554494810 |
| Phone Number | 7632700054 |
| Fax Number | 7632086371 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15207 |
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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 |
|---|---|---|---|
| 637982000 | MN | -- |
Post Comment/ Review Below
What is the Jill Diane Boike's 1386702561?
The Jill Diane Boike's NPI (National Provider Identifier) Number is 1386702561. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jill Diane Boike is physically located?
The Jill Diane Boike is situated at the following address: 11800 Aberdeen St Ne, Blaine, MN 554494810.
What is Jill Diane Boike's area of expertise and its corresponding taxonomy classification?
The Jill Diane Boike's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jill Diane Boike receive the assignment of its 1386702561 from the Centers for Medicare & Medicaid Services?
The Jill Diane Boike was issued its 1386702561 by the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information pertaining to Jill Diane Boike most recently updated or revised?
The details related to Jill Diane Boike, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-19.
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