Joan Sagedahl Larson in White Bear Lake - Clinical
Joan Sagedahl Larson - NPI 1740352921
Joan Sagedahl Larson is a Clinical in White Bear Lake, Minnesota. Joan Sagedahl Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Sagedahl Larson is 1740352921. The last update date is 2007-07-08.
Joan Sagedahl Larson's current location address is 1280 North Birch Lake Blvd, White Bear Lake, Minnesota. You can contact this provider via phone number 6514298544 and fax number 6514075301. The mailing address for Joan Sagedahl Larson is 1280 North Birch Lake Blvd, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Sagedahl Larson |
|---|---|
| Address | 1280 North Birch Lake Blvd, White Bear Lake, Minnesota |
| Phone Number | 6514298544 |
| Fax Number | 6514075301 |
| Sole Proprietor | N |
| Credentials | MSSA LICSW |
NPI Number Detail
| NPI Number | 1740352921 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1280 North Birch Lake Blvd |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551106708 |
| Phone Number | 6514298544 |
| Fax Number | 6514075301 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6420 |
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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 |
|---|---|---|---|
| 104651 | MN | UCARE MINNESOTA | |
| 40115 | MN | BEHAVIORAL HEALTCARE PROV | |
| 5H417LA | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joan Sagedahl Larson by the Centers for Medicare & Medicaid Services?
The Joan Sagedahl Larson has been assigned the NPI (National Provider Identifier) 1740352921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Joan Sagedahl Larson's facilities are situated?
The facilities of Joan Sagedahl Larson are physically located at the following address: 1280 North Birch Lake Blvd, White Bear Lake, MN, 551106708.
What is the area of specialization for Joan Sagedahl Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joan Sagedahl Larson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Joan Sagedahl Larson receive its 1740352921 assignment?
The Joan Sagedahl Larson was assigned its 1740352921 on 2006-11-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Joan Sagedahl Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joan Sagedahl Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.