Kathleen Phyllis Colley in Grand Forks - Clinical
Kathleen Phyllis Colley - NPI 1124236443
Kathleen Phyllis Colley is a Clinical in Grand Forks, North Dakota. Kathleen Phyllis Colley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Phyllis Colley is 1124236443. The last update date is 2007-07-08.
Kathleen Phyllis Colley's current location address is 1407 24th Ave S Ste 217, Grand Forks, North Dakota. You can contact this provider via phone number 7017380888. The mailing address for Kathleen Phyllis Colley is 1407 24th Ave S Ste 217, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Phyllis Colley |
|---|---|
| Address | 1407 24th Ave S Ste 217, Grand Forks, North Dakota |
| Phone Number | 7017380888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1124236443 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1407 24th Ave S Ste 217 |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582016761 |
| Phone Number | 7017380888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 16080 |
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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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What is the unique 10-digit identifier code assigned to Kathleen Phyllis Colley by the Centers for Medicare & Medicaid Services?
The Kathleen Phyllis Colley has been issued the NPI (National Provider Identifier) 1124236443 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kathleen Phyllis Colley's facilities are situated?
The facilities of Kathleen Phyllis Colley are physically located at the following address: 1407 24Th Ave S Ste 217, Grand Forks, ND, 582016761.
What is Kathleen Phyllis Colley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen Phyllis Colley is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Kathleen Phyllis Colley receive its 1124236443 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Phyllis Colley was assigned its 1124236443 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kathleen Phyllis Colley most recently updated or revised?
The details related to Kathleen Phyllis Colley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.