Carrie Eizenga Danner in Hannibal - Clinical

Carrie Eizenga Danner - NPI 1215024781

Carrie Eizenga Danner is a Clinical in Hannibal, Missouri. Carrie Eizenga Danner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carrie Eizenga Danner is 1215024781. The last update date is 2021-06-30.

Carrie Eizenga Danner's current location address is 10299 Tanglewood Ln, Hannibal, Missouri. You can contact this provider via phone number 5732212111 and fax number 5732212597. The mailing address for Carrie Eizenga Danner is 10299 Tanglewood Ln, Hannibal, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Carrie Eizenga Danner
Address 10299 Tanglewood Ln, Hannibal, Missouri
Phone Number 5732212111
Fax Number 5732212597
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1215024781
Provider Enumeration Date 2006-10-06
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 10299 Tanglewood Ln
City Hannibal
State Missouri (MO)
Post Code 634017453
Phone Number 5732212111
Fax Number 5732212597

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2004013377
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
498318625 MO --

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FAQs about Carrie Eizenga Danner

What is the unique provider identifier assigned to Carrie Eizenga Danner?

The Carrie Eizenga Danner has been issued the NPI (National Provider Identifier) 1215024781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Carrie Eizenga Danner is located?

The Carrie Eizenga Danner is situated at the following address: 10299 Tanglewood Ln, Hannibal, MO, 634017453.

What is Carrie Eizenga Danner'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 Carrie Eizenga Danner is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Carrie Eizenga Danner receive its 1215024781 assignment from the Centers for Medicare & Medicaid Services?

The Carrie Eizenga Danner was assigned its 1215024781 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date were the Carrie Eizenga Danner's details last updated?

The information pertaining to the Carrie Eizenga Danner, including its address, specialty, and other details, was most recently updated on 2021-06-30.

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