Laurie J Domsch in Kimberling City - Clinical
Laurie J Domsch - NPI 1144201104
Laurie J Domsch is a Clinical in Kimberling City, Missouri. Laurie J Domsch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie J Domsch is 1144201104. The last update date is 2007-07-08.
Laurie J Domsch's current location address is 67 Bishop Ln, Kimberling City, Missouri. You can contact this provider via phone number 4172720055 and fax number 4172720055. The mailing address for Laurie J Domsch is 67 Bishop Ln, Kimberling City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie J Domsch |
|---|---|
| Address | 67 Bishop Ln, Kimberling City, Missouri |
| Phone Number | 4172720055 |
| Fax Number | 4172720055 |
| Sole Proprietor | X |
| Credentials | MSW, ACSW, |
NPI Number Detail
| NPI Number | 1144201104 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 67 Bishop Ln |
|---|---|
| City | Kimberling City |
| State | Missouri (MO) |
| Post Code | 656869818 |
| Phone Number | 4172720055 |
| Fax Number | 4172720055 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4512 |
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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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What is the unique identification code assigned to Laurie J Domsch by the Centers for Medicare & Medicaid Services?
The Laurie J Domsch has been issued the NPI (National Provider Identifier) 1144201104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Laurie J Domsch?
The Laurie J Domsch is situated at 67 Bishop Ln, in the city of Kimberling City, state of MO, with the zip code 656869818.
What is Laurie J Domsch'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 Laurie J Domsch is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144201104 to Laurie J Domsch?
The Laurie J Domsch received its 1144201104 assignment from the Centers for Medicare & Medicaid Services on 2005-11-08.
When was the information related to Laurie J Domsch most recently updated or refreshed?
The details pertaining to the Laurie J Domsch, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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