Michelle Lee Gustafson in Minneapolis - Clinical
Michelle Lee Gustafson - NPI 1700823952
Michelle Lee Gustafson is a Clinical in Minneapolis, Minnesota. Michelle Lee Gustafson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Lee Gustafson is 1700823952. The last update date is 2023-01-06.
Michelle Lee Gustafson's current location address is 2450 Riverside Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6126724103. The mailing address for Michelle Lee Gustafson is 2450 Riverside Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Lee Gustafson |
|---|---|
| Address | 2450 Riverside Ave, Minneapolis, Minnesota |
| Phone Number | 6126724103 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1700823952 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2023-01-06 |
Provider Mailing Address Detail
| Address | 2450 Riverside Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554541450 |
| Phone Number | 6126724103 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10595 |
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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 Michelle Lee Gustafson's 1700823952?
The Michelle Lee Gustafson's NPI (National Provider Identifier) Number is 1700823952. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michelle Lee Gustafson located?
The Michelle Lee Gustafson is located at 2450 Riverside Ave, Minneapolis, MN 554541450.
What is the Michelle Lee Gustafson's area of specialization and corresponding taxonomy classification?
The Michelle Lee Gustafson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Michelle Lee Gustafson receive its 1700823952?
The Michelle Lee Gustafson was issued its 1700823952 on 2006-05-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Michelle Lee Gustafson last refreshed?
The information related to the Michelle Lee Gustafson, including its address, specialty, and other relevant details, was last updated on 2023-01-06.