Kerry Edna Mcdonald in Minneapolis - Clinical
Kerry Edna Mcdonald - NPI 1205928363
Kerry Edna Mcdonald is a Clinical in Minneapolis, Minnesota. Kerry Edna Mcdonald practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry Edna Mcdonald is 1205928363. The last update date is 2017-05-01.
Kerry Edna Mcdonald's current location address is 5208 Bloomington Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6122059745 and fax number 6128222116. The mailing address for Kerry Edna Mcdonald is 5208 Bloomington Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Edna Mcdonald |
|---|---|
| Address | 5208 Bloomington Ave S, Minneapolis, Minnesota |
| Phone Number | 6122059745 |
| Fax Number | 6128222116 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1205928363 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2017-05-01 |
Provider Mailing Address Detail
| Address | 5208 Bloomington Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55417 |
| Phone Number | 6122059745 |
| Fax Number | 6128222116 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 13929 |
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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 |
|---|---|---|---|
| 924691600 | MN | -- |
Post Comment/ Review Below
What is the Kerry Edna Mcdonald's 1205928363?
The Kerry Edna Mcdonald's NPI (National Provider Identifier) Number is 1205928363. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kerry Edna Mcdonald is located?
The Kerry Edna Mcdonald is situated at the following address: 5208 Bloomington Ave S, Minneapolis, MN, 55417.
What is Kerry Edna Mcdonald's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kerry Edna Mcdonald is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Kerry Edna Mcdonald receive its 1205928363 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Edna Mcdonald was assigned its 1205928363 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the Kerry Edna Mcdonald's details last updated?
The information pertaining to the Kerry Edna Mcdonald, including its address, specialty, and other details, was most recently updated on 2017-05-01.