Sharon B Holmberg is a Clinical in Vicksburg, Mississippi. Sharon B Holmberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sharon B Holmberg is 1689774937. The last update date is 2015-06-15.
Sharon B Holmberg's current location address is 280 Mattingly Rd, Vicksburg, Mississippi. You can contact this provider via phone number 6015298913 and fax number 6016618457. The mailing address for Sharon B Holmberg is 280 Mattingly Rd, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon B Holmberg |
|---|---|
| Address | 280 Mattingly Rd, Vicksburg, Mississippi |
| Phone Number | 6015298913 |
| Fax Number | 6016618457 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1689774937 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
| Address | 280 Mattingly Rd |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391807689 |
| Phone Number | 6015298913 |
| Fax Number | 6016618457 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C5390 |
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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 |
|---|---|---|---|
| 5475070 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sharon B Holmberg by the Centers for Medicare & Medicaid Services?
The Sharon B Holmberg has been issued the NPI (National Provider Identifier) 1689774937 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Sharon B Holmberg's facilities are geographically located?
The facilities of Sharon B Holmberg are physically situated at the following location: 280 Mattingly Rd, Vicksburg, MS, 391807689.
What is Sharon B Holmberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sharon B Holmberg is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1689774937 assigned to Sharon B Holmberg?
The Sharon B Holmberg was issued its 1689774937 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sharon B Holmberg most recently updated or revised?
The details related to Sharon B Holmberg, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-15.