Deirdre Mckiernan in Minneapolis - Clinical
Deirdre Mckiernan - NPI 1346327574
Deirdre Mckiernan is a Clinical in Minneapolis, Minnesota. Deirdre Mckiernan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deirdre Mckiernan is 1346327574. The last update date is 2018-08-06.
Deirdre Mckiernan's current location address is 4748 Chicago Ave Ste 1, Minneapolis, Minnesota. You can contact this provider via phone number 6128211920 and fax number 6128211919. The mailing address for Deirdre Mckiernan is 4748 Chicago Ave Ste 1, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Mckiernan |
|---|---|
| Address | 4748 Chicago Ave Ste 1, Minneapolis, Minnesota |
| Phone Number | 6128211920 |
| Fax Number | 6128211919 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1346327574 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2018-08-06 |
Provider Mailing Address Detail
| Address | 4748 Chicago Ave Ste 1 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554074311 |
| Phone Number | 6128211920 |
| Fax Number | 6128211919 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15301 |
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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 |
|---|---|---|---|
| 806980800 | MN | -- |
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What is the unique 10-digit identifier code assigned to Deirdre Mckiernan by the Centers for Medicare & Medicaid Services?
The Deirdre Mckiernan has been issued the NPI (National Provider Identifier) 1346327574 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Deirdre Mckiernan located?
The Deirdre Mckiernan is located at 4748 Chicago Ave Ste 1, Minneapolis, MN 554074311.
What is Deirdre Mckiernan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deirdre Mckiernan is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Deirdre Mckiernan receive its 1346327574 assignment from the Centers for Medicare & Medicaid Services?
The Deirdre Mckiernan was assigned its 1346327574 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Deirdre Mckiernan most recently updated or revised?
The information pertaining to Deirdre Mckiernan, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-06.