Larry Allen Goldman in Brooklyn Center - Clinical
Larry Allen Goldman - NPI 1336244425
Larry Allen Goldman is a Clinical in Brooklyn Center, Minnesota. Larry Allen Goldman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Allen Goldman is 1336244425. The last update date is 2007-07-08.
Larry Allen Goldman's current location address is 6860 Shingle Creek Pkwy, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635604860 and fax number 7635031430. The mailing address for Larry Allen Goldman is 6860 Shingle Creek Pkwy, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Allen Goldman |
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Address | 6860 Shingle Creek Pkwy, Brooklyn Center, Minnesota |
Phone Number | 7635604860 |
Fax Number | 7635031430 |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1336244425 |
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Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6860 Shingle Creek Pkwy |
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City | Brooklyn Center |
State | Minnesota (MN) |
Post Code | 554301411 |
Phone Number | 7635604860 |
Fax Number | 7635031430 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 539 |
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 Larry Allen Goldman by the Centers for Medicare & Medicaid Services?
The Larry Allen Goldman has been assigned the NPI (National Provider Identifier) 1336244425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry Allen Goldman is located?
The Larry Allen Goldman is situated at the following address: 6860 Shingle Creek Pkwy, Brooklyn Center, MN, 554301411.
What is the area of specialization for Larry Allen Goldman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Allen Goldman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336244425 to Larry Allen Goldman?
The Centers for Medicare & Medicaid Services assigned the 1336244425 to Larry Allen Goldman on 2006-09-13.
When was the information pertaining to Larry Allen Goldman most recently updated or revised?
The details related to Larry Allen Goldman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.