Richard Bjelland is a Clinical in Bayport, New York. Richard Bjelland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Bjelland is 1922195908. The last update date is 2015-06-04.
Richard Bjelland's current location address is 704 Middle Rd, Bayport, New York. You can contact this provider via phone number 6314720036 and fax number 6314720036. The mailing address for Richard Bjelland is 704 Middle Rd, Bayport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Bjelland |
|---|---|
| Address | 704 Middle Rd, Bayport, New York |
| Phone Number | 6314720036 |
| Fax Number | 6314720036 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1922195908 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 704 Middle Rd |
|---|---|
| City | Bayport |
| State | New York (NY) |
| Post Code | 117051920 |
| Phone Number | 6314720036 |
| Fax Number | 6314720036 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R029747 |
|
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 |
|---|---|---|---|
| 45952 | NY | UNITED BEHAVIORAL HEALTH | |
| 18541 | NY | VALUE OPTIONS | |
| 2128398 | NY | -- | |
| 18541 | NY | GHI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard Bjelland by the Centers for Medicare & Medicaid Services?
The Richard Bjelland has been assigned the NPI (National Provider Identifier) 1922195908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Richard Bjelland?
The Richard Bjelland is physically situated at 704 Middle Rd, in the city of Bayport, state of NY, with the postal code 117051920.
What is Richard Bjelland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Bjelland's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Richard Bjelland receive its 1922195908?
The Richard Bjelland was issued its 1922195908 on 2006-10-09, which is the date when the organization was assigned this unique identifier.
When was the Richard Bjelland's information last updated?
The Richard Bjelland's information was last updated on 2015-06-04.