Jill Marie Buckingham in Shoreview - Clinical
Jill Marie Buckingham - NPI 1235295148
Jill Marie Buckingham is a Clinical in Shoreview, Minnesota. Jill Marie Buckingham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Marie Buckingham is 1235295148. The last update date is 2007-07-08.
Jill Marie Buckingham's current location address is 3490 Lexington Ave N Ste 205, Shoreview, Minnesota. You can contact this provider via phone number 6514863808 and fax number 6514863858. The mailing address for Jill Marie Buckingham is 3490 Lexington Ave N Ste 205, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Marie Buckingham |
|---|---|
| Address | 3490 Lexington Ave N Ste 205, Shoreview, Minnesota |
| Phone Number | 6514863808 |
| Fax Number | 6514863858 |
| Sole Proprietor | N |
| Credentials | DTR, LICSW |
NPI Number Detail
| NPI Number | 1235295148 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3490 Lexington Ave N Ste 205 |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551268044 |
| Phone Number | 6514863808 |
| Fax Number | 6514863858 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12099 |
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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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What is the Jill Marie Buckingham's 1235295148?
The Jill Marie Buckingham's NPI (National Provider Identifier) Number is 1235295148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jill Marie Buckingham?
The Jill Marie Buckingham is physically situated at 3490 Lexington Ave N Ste 205, in the city of Shoreview, state of MN, with the postal code 551268044.
What is Jill Marie Buckingham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Marie Buckingham'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 Centers for Medicare & Medicaid Services issue the 1235295148 to Jill Marie Buckingham?
The Jill Marie Buckingham received its 1235295148 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Jill Marie Buckingham's details last updated?
The information pertaining to the Jill Marie Buckingham, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC