Vickie Lynn Bush is a Clinical in Montevideo, Minnesota. Vickie Lynn Bush practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vickie Lynn Bush is 1548393754. The last update date is 2017-03-16.
Vickie Lynn Bush's current location address is 919 No 17th Street, Montevideo, Minnesota. You can contact this provider via phone number 3202354613 and fax number 3202319140. The mailing address for Vickie Lynn Bush is 919 No 17th Street, Montevideo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vickie Lynn Bush |
|---|---|
| Address | 919 No 17th Street, Montevideo, Minnesota |
| Phone Number | 3202354613 |
| Fax Number | 3202319140 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1548393754 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2017-03-16 |
Provider Mailing Address Detail
| Address | 919 No 17th Street |
|---|---|
| City | Montevideo |
| State | Minnesota (MN) |
| Post Code | 55265 |
| Phone Number | 3202354613 |
| Fax Number | 3202319140 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8024 |
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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 unique 10-digit identification code issued to Vickie Lynn Bush by the Centers for Medicare & Medicaid Services?
The Vickie Lynn Bush has been assigned the NPI (National Provider Identifier) 1548393754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Vickie Lynn Bush's facilities are geographically located?
The facilities of Vickie Lynn Bush are physically situated at the following location: 919 No 17Th Street, Montevideo, MN, 55265.
What is Vickie Lynn Bush's area of expertise and its corresponding taxonomy classification?
The Vickie Lynn Bush's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Vickie Lynn Bush receive its 1548393754 assignment from the Centers for Medicare & Medicaid Services?
The Vickie Lynn Bush was assigned its 1548393754 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information related to Vickie Lynn Bush most recently updated or refreshed?
The details pertaining to the Vickie Lynn Bush, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-16.
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