Kathleen Leilani Bergquist in Las Vegas - Clinical
Kathleen Leilani Bergquist - NPI 1730134578
Kathleen Leilani Bergquist is a Clinical in Las Vegas, Nevada. Kathleen Leilani Bergquist practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Leilani Bergquist is 1730134578. The last update date is 2009-08-02.
Kathleen Leilani Bergquist's current location address is 9739 Manheim Ln, Las Vegas, Nevada. You can contact this provider via phone number 7023013417. The mailing address for Kathleen Leilani Bergquist is 9739 Manheim Ln, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathleen Leilani Bergquist |
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Address | 9739 Manheim Ln, Las Vegas, Nevada |
Phone Number | 7023013417 |
Fax Number | |
Sole Proprietor | N |
Credentials | , MSW, LCS |
NPI Number Detail
NPI Number | 1730134578 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2009-08-02 |
Provider Mailing Address Detail
Address | 9739 Manheim Ln |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 891176921 |
Phone Number | 7023013417 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 5485-C |
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 |
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100508688 | NV | -- |
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What is the unique identifier code issued to Kathleen Leilani Bergquist by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen Leilani Bergquist has been assigned the NPI (National Provider Identifier) 1730134578. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kathleen Leilani Bergquist's facilities are geographically located?
The facilities of Kathleen Leilani Bergquist are physically situated at the following location: 9739 Manheim Ln, Las Vegas, NV, 891176921.
What is Kathleen Leilani Bergquist's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Leilani Bergquist is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Kathleen Leilani Bergquist receive its 1730134578 assignment?
The Kathleen Leilani Bergquist was assigned its 1730134578 on 2006-05-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kathleen Leilani Bergquist, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen Leilani Bergquist, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-02.
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