Tiffany Marie Thay Grant in Saint Paul - Clinical

Tiffany Marie Thay Grant - NPI 1467553230

Tiffany Marie Thay Grant is a Clinical in Saint Paul, Minnesota. Tiffany Marie Thay Grant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tiffany Marie Thay Grant is 1467553230. The last update date is 2012-06-06.

Tiffany Marie Thay Grant's current location address is 2550 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6516453115 and fax number 6516452752. The mailing address for Tiffany Marie Thay Grant is 2550 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany Marie Thay Grant
Address 2550 University Ave W, Saint Paul, Minnesota
Phone Number 6516453115
Fax Number 6516452752
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1467553230
Provider Enumeration Date 2006-09-26
Last Updated Date 2012-06-06

Provider Mailing Address Detail

Address 2550 University Ave W
City Saint Paul
State Minnesota (MN)
Post Code 551141052
Phone Number 6516453115
Fax Number 6516452752

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 15733
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
218630600 MN --
41-1576550 PRACTICE FED TAX ID#

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FAQs about Tiffany Marie Thay Grant

What is the unique identification code assigned to Tiffany Marie Thay Grant by the Centers for Medicare & Medicaid Services?

The Tiffany Marie Thay Grant has been issued the NPI (National Provider Identifier) 1467553230. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tiffany Marie Thay Grant's facilities are geographically located?

The facilities of Tiffany Marie Thay Grant are physically situated at the following location: 2550 University Ave W, Saint Paul, MN, 551141052.

What is the Tiffany Marie Thay Grant's specialty and taxonomy code?

The Tiffany Marie Thay Grant's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date was the 1467553230 assigned to Tiffany Marie Thay Grant?

The Tiffany Marie Thay Grant was issued its 1467553230 on 2006-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Tiffany Marie Thay Grant's details last updated?

The information pertaining to the Tiffany Marie Thay Grant, including its address, specialty, and other details, was most recently updated on 2012-06-06.

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