Gary Paul Keifenheim in Brooklyn Park - Clinical
Gary Paul Keifenheim - NPI 1205903705
Gary Paul Keifenheim is a Clinical in Brooklyn Park, Minnesota. Gary Paul Keifenheim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Paul Keifenheim is 1205903705. The last update date is 2007-07-08.
Gary Paul Keifenheim's current location address is 6900 78th Ave N, Brooklyn Park, Minnesota. You can contact this provider via phone number 7635604412. The mailing address for Gary Paul Keifenheim is 6900 78th Ave N, Brooklyn Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Paul Keifenheim |
|---|---|
| Address | 6900 78th Ave N, Brooklyn Park, Minnesota |
| Phone Number | 7635604412 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1205903705 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6900 78th Ave N |
|---|---|
| City | Brooklyn Park |
| State | Minnesota (MN) |
| Post Code | 554452719 |
| Phone Number | 7635604412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LICSW06601 |
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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 Gary Paul Keifenheim's unique identification number?
The Gary Paul Keifenheim has been assigned the NPI (National Provider Identifier) Number 1205903705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gary Paul Keifenheim is physically located?
The Gary Paul Keifenheim is physically situated at the following address: 6900 78Th Ave N, Brooklyn Park, MN, 554452719.
What is Gary Paul Keifenheim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Paul Keifenheim is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Gary Paul Keifenheim receive its 1205903705 assignment from the Centers for Medicare & Medicaid Services?
The Gary Paul Keifenheim was assigned its 1205903705 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary Paul Keifenheim's details last updated?
The information pertaining to the Gary Paul Keifenheim, including its address, specialty, and other details, was most recently updated on 2007-07-08.