Michael Richard Anderson in Crookston - Clinical

Michael Richard Anderson - NPI 1619936739

Michael Richard Anderson is a Clinical in Crookston, Minnesota. Michael Richard Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Richard Anderson is 1619936739. The last update date is 2007-07-08.

Michael Richard Anderson's current location address is 603 Bruce St, Crookston, Minnesota. You can contact this provider via phone number 2182813940 and fax number 2182816261. The mailing address for Michael Richard Anderson is 603 Bruce St, Crookston, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Richard Anderson
Address 603 Bruce St, Crookston, Minnesota
Phone Number 2182813940
Fax Number 2182816261
Sole Proprietor X
Credentials LICSW

NPI Number Detail

NPI Number 1619936739
Provider Enumeration Date 2006-03-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 603 Bruce St
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 12676
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
116597 MN UCARE MINNESOTA
6248695 UBH MEDICA
1029836 PREFERRED ONE
17763 ND BCBS OF ND
9H593AN MN BCBSBHSI
HP28518 HEALTH PARTNERS

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FAQs about Michael Richard Anderson

What is the unique identifier code issued to Michael Richard Anderson by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Richard Anderson has been assigned the NPI (National Provider Identifier) 1619936739. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Michael Richard Anderson's facilities are situated?

The facilities of Michael Richard Anderson are physically located at the following address: 603 Bruce St, Crookston, MN, 567160603.

What is Michael Richard Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Richard Anderson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Michael Richard Anderson receive the assignment of its 1619936739 from the Centers for Medicare & Medicaid Services?

The Michael Richard Anderson was issued its 1619936739 by the Centers for Medicare & Medicaid Services on 2006-03-18.

As of what date was the information regarding Michael Richard Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Richard Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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