Brenda Melissia Anderson in Crookston - Clinical
Brenda Melissia Anderson - NPI 1366401481
Brenda Melissia Anderson is a Clinical in Crookston, Minnesota. Brenda Melissia Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Melissia Anderson is 1366401481. The last update date is 2007-07-08.
Brenda Melissia Anderson's current location address is Po Box 603, Crookston, Minnesota. You can contact this provider via phone number 2182813940 and fax number 2182816261. The mailing address for Brenda Melissia Anderson is Po Box 603, Crookston, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Melissia Anderson |
|---|---|
| Address | Po Box 603, Crookston, Minnesota |
| Phone Number | 2182813940 |
| Fax Number | 2182816261 |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1366401481 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 603 |
|---|---|
| City | Crookston |
| State | Minnesota (MN) |
| Post Code | 567160603 |
| Phone Number | 2182813940 |
| Fax Number | 2182816261 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9419 |
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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 |
|---|---|---|---|
| 1031784 | PREFERRED ONE | ||
| 6252818 | UBH MEDICA | ||
| 116598 | MN | UCARE MINNESOTA | |
| HP28519 | HEALTH PARTNERS | ||
| 17964 | ND | BCBS OF ND | |
| 9H592AN | MN | BCBS BHSI |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Melissia Anderson by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda Melissia Anderson has been assigned the NPI (National Provider Identifier) 1366401481. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Brenda Melissia Anderson's facilities are geographically located?
The facilities of Brenda Melissia Anderson are physically situated at the following location: Po Box 603, Crookston, MN, 567160603.
What is the Brenda Melissia Anderson's specialty and taxonomy code?
The Brenda Melissia Anderson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366401481 to Brenda Melissia Anderson?
The Centers for Medicare & Medicaid Services assigned the 1366401481 to Brenda Melissia Anderson on 2006-03-18.
As of what date was the information regarding Brenda Melissia Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brenda Melissia Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.