Breck Earle Salisbury in Bloomington - Clinical
Breck Earle Salisbury - NPI 1598737694
Breck Earle Salisbury is a Clinical in Bloomington, Minnesota. Breck Earle Salisbury practices all healthcare services and medical treatments related to Clinical. The NPI Number for Breck Earle Salisbury is 1598737694. The last update date is 2007-07-08.
Breck Earle Salisbury's current location address is 8100 34th Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528835463 and fax number 9528835395. The mailing address for Breck Earle Salisbury is 8100 34th Ave S, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Breck Earle Salisbury |
|---|---|
| Address | 8100 34th Ave S, Bloomington, Minnesota |
| Phone Number | 9528835463 |
| Fax Number | 9528835395 |
| Sole Proprietor | X |
| Credentials | MSW LICSW |
NPI Number Detail
| NPI Number | 1598737694 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8100 34th Ave S |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554251672 |
| Phone Number | 9528835463 |
| Fax Number | 9528835395 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7485 |
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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 identifier code issued to Breck Earle Salisbury by the Centers for Medicare & Medicaid Services?
The Breck Earle Salisbury has been assigned the NPI (National Provider Identifier) 1598737694 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Breck Earle Salisbury?
The Breck Earle Salisbury is physically situated at 8100 34Th Ave S, in the city of Bloomington, state of MN, with the postal code 554251672.
What is Breck Earle Salisbury's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Breck Earle Salisbury is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598737694 to Breck Earle Salisbury?
The Centers for Medicare & Medicaid Services originally issued the 1598737694 to Breck Earle Salisbury on 2006-02-02.
When was the Breck Earle Salisbury's information last updated?
The Breck Earle Salisbury's information was last updated on 2007-07-08.
NPI Number: 1225026222
Address: 300 Twining St Bldg 760, Maxwell Afb, AL