Timothy Lee Cammack in Golden Valley - Clinical
Timothy Lee Cammack - NPI 1972554111
Timothy Lee Cammack is a Clinical in Golden Valley, Minnesota. Timothy Lee Cammack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Lee Cammack is 1972554111. The last update date is 2007-07-08.
Timothy Lee Cammack's current location address is 3915 Golden Valley Road, Golden Valley, Minnesota. You can contact this provider via phone number 7635200645 and fax number 7635200355. The mailing address for Timothy Lee Cammack is 3915 Golden Valley Road, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Lee Cammack |
|---|---|
| Address | 3915 Golden Valley Road, Golden Valley, Minnesota |
| Phone Number | 7635200645 |
| Fax Number | 7635200355 |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1972554111 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3915 Golden Valley Road |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224298 |
| Phone Number | 7635200645 |
| Fax Number | 7635200355 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6687 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 963371012571 | PREFERRED ONE | ||
| 89D34CA | BCBS MINNESOTA | ||
| 6236582 | MEDICA | ||
| 6236582 | UBH | ||
| HP23150 | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy Lee Cammack by the Centers for Medicare & Medicaid Services?
The Timothy Lee Cammack has been assigned the NPI (National Provider Identifier) 1972554111 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timothy Lee Cammack?
The Timothy Lee Cammack is situated at 3915 Golden Valley Road, in the city of Golden Valley, state of MN, with the zip code 554224298.
What is Timothy Lee Cammack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy Lee Cammack is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972554111 to Timothy Lee Cammack?
The Timothy Lee Cammack received its 1972554111 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information regarding Timothy Lee Cammack most recently updated?
The details pertaining to the Timothy Lee Cammack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.