Steven P Tibbetts in Minneapolis - Clinical

Steven P Tibbetts - NPI 1689730434

Steven P Tibbetts is a Clinical in Minneapolis, Minnesota. Steven P Tibbetts practices all healthcare services and medical treatments related to Clinical. The NPI Number for Steven P Tibbetts is 1689730434. The last update date is 2007-07-08.

Steven P Tibbetts's current location address is 4633 14th Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128231031 and fax number 6128278182. The mailing address for Steven P Tibbetts is 4633 14th Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven P Tibbetts
Address 4633 14th Ave S, Minneapolis, Minnesota
Phone Number 6128231031
Fax Number 6128278182
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1689730434
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4633 14th Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554073644
Phone Number 6128231031
Fax Number 6128278182

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 12914
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
03Q12HE MN BCBS

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FAQs about Steven P Tibbetts

What is the unique provider identifier assigned to Steven P Tibbetts?

The Steven P Tibbetts has been issued the NPI (National Provider Identifier) 1689730434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Steven P Tibbetts's facilities are situated?

The facilities of Steven P Tibbetts are physically located at the following address: 4633 14Th Ave S, Minneapolis, MN, 554073644.

What is Steven P Tibbetts's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Steven P Tibbetts is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689730434 to Steven P Tibbetts?

The Centers for Medicare & Medicaid Services assigned the 1689730434 to Steven P Tibbetts on 2006-12-28.

When was the information related to Steven P Tibbetts most recently updated or refreshed?

The details pertaining to the Steven P Tibbetts, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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