Jane Pauline Komarek-Pavkovi in St Cloud - Clinical

Jane Pauline Komarek-Pavkovi - NPI 1326097171

Jane Pauline Komarek-Pavkovi is a Clinical in St Cloud, Minnesota. Jane Pauline Komarek-Pavkovi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane Pauline Komarek-Pavkovi is 1326097171. The last update date is 2017-10-04.

Jane Pauline Komarek-Pavkovi's current location address is 1406 6th Ave N, St Cloud, Minnesota. You can contact this provider via phone number 3202512700 and fax number 3202293765. The mailing address for Jane Pauline Komarek-Pavkovi is 1406 6th Ave N, St Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane Pauline Komarek-Pavkovi
Address 1406 6th Ave N, St Cloud, Minnesota
Phone Number 3202512700
Fax Number 3202293765
Sole Proprietor N
Credentials LICSW LADC

NPI Number Detail

NPI Number 1326097171
Provider Enumeration Date 2006-05-09
Last Updated Date 2017-10-04

Provider Mailing Address Detail

Address 1406 6th Ave N
City St Cloud
State Minnesota (MN)
Post Code 563031901
Phone Number 3202512700
Fax Number 3202293765

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 12130
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
510037200 MN --

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FAQs about Jane Pauline Komarek-Pavkovi

What is the unique 10-digit identifier code issued to Jane Pauline Komarek-Pavkovi by the Centers for Medicare & Medicaid Services?

The Jane Pauline Komarek-Pavkovi has been assigned the NPI (National Provider Identifier) 1326097171 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jane Pauline Komarek-Pavkovi is physically located?

The Jane Pauline Komarek-Pavkovi is situated at the following address: 1406 6Th Ave N, St Cloud, MN 563031901.

What is Jane Pauline Komarek-Pavkovi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jane Pauline Komarek-Pavkovi is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1326097171 to Jane Pauline Komarek-Pavkovi?

The Jane Pauline Komarek-Pavkovi received its 1326097171 assignment from the Centers for Medicare & Medicaid Services on 2006-05-09.

As of what date were the details pertaining to Jane Pauline Komarek-Pavkovi last refreshed?

The information related to the Jane Pauline Komarek-Pavkovi, including its address, specialty, and other relevant details, was last updated on 2017-10-04.

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