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 |
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Address | 603 Bruce St, Crookston, Minnesota |
Phone Number | 2182813940 |
Fax Number | 2182816261 |
Sole Proprietor | X |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1619936739 |
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Provider Enumeration Date | 2006-03-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 603 Bruce St |
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City | Crookston |
State | Minnesota (MN) |
Post Code | 567160603 |
Phone Number | 2182813940 |
Fax Number | 2182816261 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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 |
Post Comment/ Review Below
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.