Candice Kae Mohammad in Fridley - Clinical
Candice Kae Mohammad - NPI 1205099215
Candice Kae Mohammad is a Clinical in Fridley, Minnesota. Candice Kae Mohammad practices all healthcare services and medical treatments related to Clinical. The NPI Number for Candice Kae Mohammad is 1205099215. The last update date is 2008-07-09.
Candice Kae Mohammad's current location address is 490 Fairmont St Ne, Fridley, Minnesota. You can contact this provider via phone number 7637177979. The mailing address for Candice Kae Mohammad is 490 Fairmont St Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Kae Mohammad |
|---|---|
| Address | 490 Fairmont St Ne, Fridley, Minnesota |
| Phone Number | 7637177979 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1205099215 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 490 Fairmont St Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554321667 |
| Phone Number | 7637177979 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10756 |
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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 identifier code issued to Candice Kae Mohammad by the Centers for Medicare & Medicaid Services (CMS)?
The Candice Kae Mohammad has been assigned the NPI (National Provider Identifier) 1205099215. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Candice Kae Mohammad is physically located?
The Candice Kae Mohammad is situated at the following address: 490 Fairmont St Ne, Fridley, MN 554321667.
What is Candice Kae Mohammad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Candice Kae Mohammad's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1205099215 assigned to Candice Kae Mohammad?
The Candice Kae Mohammad was issued its 1205099215 on 2008-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Candice Kae Mohammad most recently updated or revised?
The information pertaining to Candice Kae Mohammad, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-09.
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