Shelley Sears Berven in Saint Paul - Clinical
Shelley Sears Berven - NPI 1265539308
Shelley Sears Berven is a Clinical in Saint Paul, Minnesota. Shelley Sears Berven practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelley Sears Berven is 1265539308. The last update date is 2019-01-21.
Shelley Sears Berven's current location address is 2273 Gordon Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6512933923 and fax number 6516425909. The mailing address for Shelley Sears Berven is 2273 Gordon Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Sears Berven |
|---|---|
| Address | 2273 Gordon Ave, Saint Paul, Minnesota |
| Phone Number | 6512933923 |
| Fax Number | 6516425909 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1265539308 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2019-01-21 |
Provider Mailing Address Detail
| Address | 2273 Gordon Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551081904 |
| Phone Number | 6512933923 |
| Fax Number | 6516425909 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6845 |
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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 |
|---|---|---|---|
| 735820200 | MN | -- | |
| 172678 | MN | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelley Sears Berven by the Centers for Medicare & Medicaid Services?
The Shelley Sears Berven has been assigned the NPI (National Provider Identifier) 1265539308 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shelley Sears Berven is geographically located?
The Shelley Sears Berven is physically situated at the following location: 2273 Gordon Ave, Saint Paul, MN, 551081904.
What is Shelley Sears Berven's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelley Sears Berven's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1265539308 assigned to Shelley Sears Berven?
The Shelley Sears Berven was issued its 1265539308 on 2006-09-20, 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 details pertaining to Shelley Sears Berven last refreshed?
The information related to the Shelley Sears Berven, including its address, specialty, and other relevant details, was last updated on 2019-01-21.