Center For Integrated Well Being Inc in Saint Paul - Clinical
Center For Integrated Well Being Inc - NPI 1053485003
Center For Integrated Well Being Inc is a Clinical in Saint Paul, Minnesota. Center For Integrated Well Being Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Center For Integrated Well Being Inc is 1053485003. The last update date is 2020-08-22.
Center For Integrated Well Being Inc's current location address is 1449 Grand Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6516980768 and fax number 6516980660. The mailing address for Center For Integrated Well Being Inc is 1449 Grand Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Integrated Well Being Inc |
|---|---|
| Address | 1449 Grand Ave, Saint Paul, Minnesota |
| Phone Number | 6516980768 |
| Fax Number | 6516980660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jeanetta Wark David Jeffry |
| Credentials | MA LICSW |
| Telephone Number | 6516980768 |
NPI Number Detail
| NPI Number | 1053485003 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1449 Grand Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551052206 |
| Phone Number | 6516980768 |
| Fax Number | 6516980660 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13GS2WA | BCBS | ||
| 483889 | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Center For Integrated Well Being Inc by the Centers for Medicare & Medicaid Services?
The Center For Integrated Well Being Inc has been assigned the NPI (National Provider Identifier) 1053485003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Center For Integrated Well Being Inc is geographically located?
The Center For Integrated Well Being Inc is physically situated at the following location: 1449 Grand Ave, Saint Paul, MN, 551052206.
What is Center For Integrated Well Being Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Center For Integrated Well Being Inc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Center For Integrated Well Being Inc receive the assignment of its 1053485003 from the Centers for Medicare & Medicaid Services?
The Center For Integrated Well Being Inc was issued its 1053485003 by the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the Center For Integrated Well Being Inc's information last updated?
The Center For Integrated Well Being Inc's information was last updated on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC