Lisa Renee Kiesel in Saint Paul - Clinical

Lisa Renee Kiesel - NPI 1477566826

Lisa Renee Kiesel is a Clinical in Saint Paul, Minnesota. Lisa Renee Kiesel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Renee Kiesel is 1477566826. The last update date is 2009-05-27.

Lisa Renee Kiesel's current location address is 1599 Selby Ave # 2, Saint Paul, Minnesota. You can contact this provider via phone number 6122517967. The mailing address for Lisa Renee Kiesel is 1599 Selby Ave # 2, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Renee Kiesel
Address 1599 Selby Ave # 2, Saint Paul, Minnesota
Phone Number 6122517967
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1477566826
Provider Enumeration Date 2006-08-15
Last Updated Date 2009-05-27

Provider Mailing Address Detail

Address 1599 Selby Ave # 2
City Saint Paul
State Minnesota (MN)
Post Code 551046218
Phone Number 6122517967
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 10301
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
800002196 MN MEDICARE
866412900 MN --

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FAQs about Lisa Renee Kiesel

What is the unique 10-digit identification code assigned to Lisa Renee Kiesel by the Centers for Medicare & Medicaid Services?

The Lisa Renee Kiesel has been issued the NPI (National Provider Identifier) 1477566826, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lisa Renee Kiesel's facilities are situated?

The facilities of Lisa Renee Kiesel are physically located at the following address: 1599 Selby Ave # 2, Saint Paul, MN, 551046218.

What is the Lisa Renee Kiesel's specialty and taxonomy code?

The Lisa Renee Kiesel's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Lisa Renee Kiesel receive its 1477566826 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Renee Kiesel was assigned its 1477566826 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Lisa Renee Kiesel last refreshed?

The information related to the Lisa Renee Kiesel, including its address, specialty, and other relevant details, was last updated on 2009-05-27.

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