Jeanette L Zaczkowski in Bloomington - Clinical

Jeanette L Zaczkowski - NPI 1942275235

Jeanette L Zaczkowski is a Clinical in Bloomington, Minnesota. Jeanette L Zaczkowski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanette L Zaczkowski is 1942275235. The last update date is 2014-11-04.

Jeanette L Zaczkowski's current location address is 8100 34th Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528837961 and fax number 9528835395. The mailing address for Jeanette L Zaczkowski is 8100 34th Ave S, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanette L Zaczkowski
Address 8100 34th Ave S, Bloomington, Minnesota
Phone Number 9528837961
Fax Number 9528835395
Sole Proprietor N
Credentials MSW LICSW

NPI Number Detail

NPI Number 1942275235
Provider Enumeration Date 2006-02-21
Last Updated Date 2014-11-04

Provider Mailing Address Detail

Address 8100 34th Ave S
City Bloomington
State Minnesota (MN)
Post Code 554251672
Phone Number 9528837961
Fax Number 9528835395

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 13080
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
924609600 MN --

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FAQs about Jeanette L Zaczkowski

What is the unique identifier code issued to Jeanette L Zaczkowski by the Centers for Medicare & Medicaid Services (CMS)?

The Jeanette L Zaczkowski has been assigned the NPI (National Provider Identifier) 1942275235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Jeanette L Zaczkowski's facilities are situated?

The facilities of Jeanette L Zaczkowski are physically located at the following address: 8100 34Th Ave S, Bloomington, MN, 554251672.

What is the Jeanette L Zaczkowski's specialty and taxonomy code?

The Jeanette L Zaczkowski's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Jeanette L Zaczkowski receive its 1942275235 assignment from the Centers for Medicare & Medicaid Services?

The Jeanette L Zaczkowski was assigned its 1942275235 on 2006-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jeanette L Zaczkowski most recently updated?

The details pertaining to the Jeanette L Zaczkowski, including its address, specialty, and other relevant information, were last refreshed on 2014-11-04.

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