Tina M Dale is a Clinical in Saint Louis, Missouri. Tina M Dale practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina M Dale is 1124054804. The last update date is 2007-07-08.
Tina M Dale's current location address is 8420 Delmar Blvd Ste 209, Saint Louis, Missouri. You can contact this provider via phone number 3144778751 and fax number 3149830331. The mailing address for Tina M Dale is 8420 Delmar Blvd Ste 209, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina M Dale |
|---|---|
| Address | 8420 Delmar Blvd Ste 209, Saint Louis, Missouri |
| Phone Number | 3144778751 |
| Fax Number | 3149830331 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124054804 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8420 Delmar Blvd Ste 209 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631242177 |
| Phone Number | 3144778751 |
| Fax Number | 3149830331 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2004010098 |
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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 |
|---|---|---|---|
| 190570 | BLUE CROSS BLUE SHIELD, A | ||
| 1133370 | CAQH PROVIDER NUMBER |
Post Comment/ Review Below
What is the Tina M Dale's unique identification number?
The Tina M Dale has been assigned the NPI (National Provider Identifier) Number 1124054804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Tina M Dale?
The Tina M Dale is situated at 8420 Delmar Blvd Ste 209, in the city of Saint Louis, state of MO, with the zip code 631242177.
What is Tina M Dale'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 Tina M Dale 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 1124054804 to Tina M Dale?
The Tina M Dale received its 1124054804 assignment from the Centers for Medicare & Medicaid Services on 2006-06-24.
As of what date were the Tina M Dale's details last updated?
The information pertaining to the Tina M Dale, including its address, specialty, and other details, was most recently updated on 2007-07-08.