Craig L. Weickert in Moorhead - Clinical

Craig L. Weickert - NPI 1033156393

Craig L. Weickert is a Clinical in Moorhead, Minnesota. Craig L. Weickert practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig L. Weickert is 1033156393. The last update date is 2007-07-08.

Craig L. Weickert's current location address is 904 18th St N, Moorhead, Minnesota. You can contact this provider via phone number 2182874484 and fax number 2182338627. The mailing address for Craig L. Weickert is 904 18th St N, Moorhead, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig L. Weickert
Address 904 18th St N, Moorhead, Minnesota
Phone Number 2182874484
Fax Number 2182338627
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1033156393
Provider Enumeration Date 2006-06-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 904 18th St N
City Moorhead
State Minnesota (MN)
Post Code 565601826
Phone Number 2182874484
Fax Number 2182338627

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 12584
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
116414 MN UCARE MINNESOTA
1033073 MN PREFERREDONE
29A23WE MN BLUE SHIELD OF MINNESOTA
22802 ND NORTH DAKOTA BLUE SHIELD
62=67001 MN UNITED BEHAVIORAL HEALTH
HP37867 MN HEALTHPARTNERS

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FAQs about Craig L. Weickert

What is the unique 10-digit identifier code assigned to Craig L. Weickert by the Centers for Medicare & Medicaid Services?

The Craig L. Weickert has been issued the NPI (National Provider Identifier) 1033156393 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Craig L. Weickert's physical address?

The Craig L. Weickert is physically located at 904 18Th St N, in the city of Moorhead, MN, with the postal code 565601826.

What is the Craig L. Weickert's area of specialization and corresponding taxonomy classification?

The Craig L. Weickert's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1033156393 assigned to Craig L. Weickert?

The Craig L. Weickert was issued its 1033156393 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Craig L. Weickert's details last updated?

The information pertaining to the Craig L. Weickert, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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