Peter Trier Dimock in Saint Paul - Clinical
Peter Trier Dimock - NPI 1508922477
Peter Trier Dimock is a Clinical in Saint Paul, Minnesota. Peter Trier Dimock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter Trier Dimock is 1508922477. The last update date is 2007-07-08.
Peter Trier Dimock's current location address is 357 Kellogg Blvd E, Saint Paul, Minnesota. You can contact this provider via phone number 6512268075. The mailing address for Peter Trier Dimock is 357 Kellogg Blvd E, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Trier Dimock |
|---|---|
| Address | 357 Kellogg Blvd E, Saint Paul, Minnesota |
| Phone Number | 6512268075 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1508922477 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 357 Kellogg Blvd E |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551011411 |
| Phone Number | 6512268075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 19 |
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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 |
|---|---|---|---|
| 19 | MN | LICSW - MN |
Post Comment/ Review Below
What is the Peter Trier Dimock's unique identification number?
The Peter Trier Dimock has been assigned the NPI (National Provider Identifier) Number 1508922477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Peter Trier Dimock is physically located?
The Peter Trier Dimock is physically situated at the following address: 357 Kellogg Blvd E, Saint Paul, MN, 551011411.
What is Peter Trier Dimock's area of expertise and its corresponding taxonomy classification?
The Peter Trier Dimock'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 issue the 1508922477 to Peter Trier Dimock?
The Peter Trier Dimock received its 1508922477 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Peter Trier Dimock's details last updated?
The information pertaining to the Peter Trier Dimock, including its address, specialty, and other details, was most recently updated on 2007-07-08.