Monique Ivanov is a Clinical in Greensboro, North Carolina. Monique Ivanov practices all healthcare services and medical treatments related to Clinical. The NPI Number for Monique Ivanov is 1477633675. The last update date is 2007-07-08.
Monique Ivanov's current location address is 6809 River Hills Dr, Greensboro, North Carolina. You can contact this provider via phone number 3366646988. The mailing address for Monique Ivanov is 6809 River Hills Dr, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monique Ivanov |
|---|---|
| Address | 6809 River Hills Dr, Greensboro, North Carolina |
| Phone Number | 3366646988 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1477633675 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6809 River Hills Dr |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274108339 |
| Phone Number | 3366646988 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C000084 |
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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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What is the unique 10-digit identifier code assigned to Monique Ivanov by the Centers for Medicare & Medicaid Services?
The Monique Ivanov has been issued the NPI (National Provider Identifier) 1477633675 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Monique Ivanov's facilities are situated?
The facilities of Monique Ivanov are physically located at the following address: 6809 River Hills Dr, Greensboro, NC, 274108339.
What is Monique Ivanov's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Monique Ivanov is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477633675 to Monique Ivanov?
The Monique Ivanov received its 1477633675 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details related to Monique Ivanov most recently updated or revised?
The information pertaining to Monique Ivanov, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.