Judith K. Kreisman in Saint Louis - Clinical

Judith K. Kreisman - NPI 1821183625

Judith K. Kreisman is a Clinical in Saint Louis, Missouri. Judith K. Kreisman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith K. Kreisman is 1821183625. The last update date is 2009-10-14.

Judith K. Kreisman's current location address is 11477 Olde Cabin Rd, Saint Louis, Missouri. You can contact this provider via phone number 3145675000 and fax number 3145673110. The mailing address for Judith K. Kreisman is 11477 Olde Cabin Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith K. Kreisman
Address 11477 Olde Cabin Rd, Saint Louis, Missouri
Phone Number 3145675000
Fax Number 3145673110
Sole Proprietor N
Credentials M.S.W., A.

NPI Number Detail

NPI Number 1821183625
Provider Enumeration Date 2006-10-04
Last Updated Date 2009-10-14

Provider Mailing Address Detail

Address 11477 Olde Cabin Rd
City Saint Louis
State Missouri (MO)
Post Code 631417130
Phone Number 3145675000
Fax Number 3145673110

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW000219
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
6224 MO BLUE CROSS BLUE SHIELD
878519 MO HEALTHLINK

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FAQs about Judith K. Kreisman

What is the unique identifier code issued to Judith K. Kreisman by the Centers for Medicare & Medicaid Services?

The Judith K. Kreisman has been assigned the NPI (National Provider Identifier) 1821183625. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Judith K. Kreisman's facilities are geographically located?

The facilities of Judith K. Kreisman are physically situated at the following location: 11477 Olde Cabin Rd, Saint Louis, MO, 631417130.

What is the area of specialization for Judith K. Kreisman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Judith K. Kreisman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Judith K. Kreisman receive its 1821183625 assignment from the Centers for Medicare & Medicaid Services?

The Judith K. Kreisman was assigned its 1821183625 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date were the Judith K. Kreisman's details last updated?

The information pertaining to the Judith K. Kreisman, including its address, specialty, and other details, was most recently updated on 2009-10-14.

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