Regina Hollibush in Chisago City - Clinical
Regina Hollibush - NPI 1396910022
Regina Hollibush is a Clinical in Chisago City, Minnesota. Regina Hollibush practices all healthcare services and medical treatments related to Clinical. The NPI Number for Regina Hollibush is 1396910022. The last update date is 2009-12-30.
Regina Hollibush's current location address is 11725 Stinson Ave, Chisago City, Minnesota. You can contact this provider via phone number 6512578896. The mailing address for Regina Hollibush is 11725 Stinson Ave, Chisago City, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina Hollibush |
|---|---|
| Address | 11725 Stinson Ave, Chisago City, Minnesota |
| Phone Number | 6512578896 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396910022 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2009-12-30 |
Provider Mailing Address Detail
| Address | 11725 Stinson Ave |
|---|---|
| City | Chisago City |
| State | Minnesota (MN) |
| Post Code | 550139542 |
| Phone Number | 6512578896 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6925-123 |
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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 |
|---|---|---|---|
| 43588300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Regina Hollibush?
The Regina Hollibush has been issued the NPI (National Provider Identifier) 1396910022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Regina Hollibush is physically located?
The Regina Hollibush is situated at the following address: 11725 Stinson Ave, Chisago City, MN 550139542.
What is Regina Hollibush's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Regina Hollibush is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396910022 to Regina Hollibush?
The Centers for Medicare & Medicaid Services assigned the 1396910022 to Regina Hollibush on 2008-04-23.
When was the Regina Hollibush's information last updated?
The Regina Hollibush's information was last updated on 2009-12-30.
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