John O'Brien is a Clinical in Bloomington, Minnesota. John O'Brien practices all healthcare services and medical treatments related to Clinical. The NPI Number for John O'Brien is 1457579427. The last update date is 2018-11-16.
John O'Brien's current location address is 200 W 98th St, Bloomington, Minnesota. You can contact this provider via phone number 6129686097. The mailing address for John O'Brien is 200 W 98th St, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John O'Brien |
|---|---|
| Address | 200 W 98th St, Bloomington, Minnesota |
| Phone Number | 6129686097 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1457579427 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2018-11-16 |
Provider Mailing Address Detail
| Address | 200 W 98th St |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554204858 |
| Phone Number | 6129686097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 14313 |
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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 |
|---|---|---|---|
| 689136500 | MN | -- | |
| 205436246 | MN | EID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John O'Brien by the Centers for Medicare & Medicaid Services?
The John O'Brien has been issued the NPI (National Provider Identifier) 1457579427, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John O'Brien is physically located?
The John O'Brien is physically situated at the following address: 200 W 98Th St, Bloomington, MN, 554204858.
What is the John O'Brien's specialty and taxonomy code?
The John O'Brien's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1457579427 assigned to John O'Brien?
The John O'Brien was issued its 1457579427 on 2007-04-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John O'Brien most recently updated or revised?
The details related to John O'Brien, including its address, specialty, and other relevant information, were last updated or revised on 2018-11-16.