Laura Elizabeth Mckibbin in Owatonna - Clinical

Laura Elizabeth Mckibbin - NPI 1457468274

Laura Elizabeth Mckibbin is a Clinical in Owatonna, Minnesota. Laura Elizabeth Mckibbin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Elizabeth Mckibbin is 1457468274. The last update date is 2007-09-25.

Laura Elizabeth Mckibbin's current location address is 1880 Austin Rd, Owatonna, Minnesota. You can contact this provider via phone number 5074468123 and fax number 5074460600. The mailing address for Laura Elizabeth Mckibbin is 1880 Austin Rd, Owatonna, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Elizabeth Mckibbin
Address 1880 Austin Rd, Owatonna, Minnesota
Phone Number 5074468123
Fax Number 5074460600
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1457468274
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 1880 Austin Rd
City Owatonna
State Minnesota (MN)
Post Code 550604402
Phone Number 5074468123
Fax Number 5074460600

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 809
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
51940 IA WELLMARK
I1488 MEDICARE INDIVIDUAL PROVI

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FAQs about Laura Elizabeth Mckibbin

What is the unique 10-digit identifier code assigned to Laura Elizabeth Mckibbin by the Centers for Medicare & Medicaid Services?

The Laura Elizabeth Mckibbin has been issued the NPI (National Provider Identifier) 1457468274 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Laura Elizabeth Mckibbin is located?

The Laura Elizabeth Mckibbin is situated at the following address: 1880 Austin Rd, Owatonna, MN, 550604402.

What is Laura Elizabeth Mckibbin's area of expertise and its corresponding taxonomy classification?

The Laura Elizabeth Mckibbin'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 Centers for Medicare & Medicaid Services originally issue the 1457468274 to Laura Elizabeth Mckibbin?

The Centers for Medicare & Medicaid Services originally issued the 1457468274 to Laura Elizabeth Mckibbin on 2006-08-25.

As of what date were the Laura Elizabeth Mckibbin's details last updated?

The information pertaining to the Laura Elizabeth Mckibbin, including its address, specialty, and other details, was most recently updated on 2007-09-25.

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