Beverly Mirgeaux in Cape Girardeau - Clinical

Beverly Mirgeaux - NPI 1770671588

Beverly Mirgeaux is a Clinical in Cape Girardeau, Missouri. Beverly Mirgeaux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beverly Mirgeaux is 1770671588. The last update date is 2012-09-12.

Beverly Mirgeaux's current location address is 3065 William St, Cape Girardeau, Missouri. You can contact this provider via phone number 5733354100 and fax number 5733397887. The mailing address for Beverly Mirgeaux is 3065 William St, Cape Girardeau, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Beverly Mirgeaux
Address 3065 William St, Cape Girardeau, Missouri
Phone Number 5733354100
Fax Number 5733397887
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1770671588
Provider Enumeration Date 2006-10-10
Last Updated Date 2012-09-12

Provider Mailing Address Detail

Address 3065 William St
City Cape Girardeau
State Missouri (MO)
Post Code 637036393
Phone Number 5733354100
Fax Number 5733397887

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 3216
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
1417959149 MO --

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FAQs about Beverly Mirgeaux

What is the unique 10-digit identification code issued to Beverly Mirgeaux by the Centers for Medicare & Medicaid Services?

The Beverly Mirgeaux has been assigned the NPI (National Provider Identifier) 1770671588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Beverly Mirgeaux?

The Beverly Mirgeaux is situated at 3065 William St, in the city of Cape Girardeau, state of MO, with the zip code 637036393.

What is Beverly Mirgeaux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Beverly Mirgeaux is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did Beverly Mirgeaux receive its 1770671588 assignment from the Centers for Medicare & Medicaid Services?

The Beverly Mirgeaux was assigned its 1770671588 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Beverly Mirgeaux most recently updated or revised?

The information pertaining to Beverly Mirgeaux, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-12.

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