Michael Ollom is a Clinical in Bernalillo, New Mexico. Michael Ollom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Ollom is 1558370122. The last update date is 2008-05-02.
Michael Ollom's current location address is 872 S Camino Del Pueblo, Bernalillo, New Mexico. You can contact this provider via phone number 5058672383 and fax number 5058677293. The mailing address for Michael Ollom is 872 S Camino Del Pueblo, Bernalillo, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ollom |
|---|---|
| Address | 872 S Camino Del Pueblo, Bernalillo, New Mexico |
| Phone Number | 5058672383 |
| Fax Number | 5058677293 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1558370122 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 872 S Camino Del Pueblo |
|---|---|
| City | Bernalillo |
| State | New Mexico (NM) |
| Post Code | 870045927 |
| Phone Number | 5058672383 |
| Fax Number | 5058677293 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LISW - I-058 |
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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 |
|---|---|---|---|
| 11282053 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Ollom by the Centers for Medicare & Medicaid Services?
The Michael Ollom has been issued the NPI (National Provider Identifier) 1558370122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael Ollom?
The Michael Ollom is physically situated at 872 S Camino Del Pueblo, in the city of Bernalillo, state of NM, with the postal code 870045927.
What is the Michael Ollom's specialty and taxonomy code?
The Michael Ollom's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Michael Ollom receive its 1558370122 assignment?
The Michael Ollom was assigned its 1558370122 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Michael Ollom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Ollom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-02.