Jerome A Chaussee in Bismarck - Clinical

Jerome A Chaussee - NPI 1982640546

Jerome A Chaussee is a Clinical in Bismarck, North Dakota. Jerome A Chaussee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome A Chaussee is 1982640546. The last update date is 2007-07-08.

Jerome A Chaussee's current location address is 1237 W Divide Ave, Bismarck, North Dakota. You can contact this provider via phone number 7013288869 and fax number 7013288900. The mailing address for Jerome A Chaussee is 1237 W Divide Ave, Bismarck, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome A Chaussee
Address 1237 W Divide Ave, Bismarck, North Dakota
Phone Number 7013288869
Fax Number 7013288900
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1982640546
Provider Enumeration Date 2006-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1237 W Divide Ave
City Bismarck
State North Dakota (ND)
Post Code 585011208
Phone Number 7013288869
Fax Number 7013288900

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CHA-49-5424
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
24081 BCBS OF ND

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FAQs about Jerome A Chaussee

What is the unique identifier code issued to Jerome A Chaussee by the Centers for Medicare & Medicaid Services (CMS)?

The Jerome A Chaussee has been assigned the NPI (National Provider Identifier) 1982640546. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jerome A Chaussee?

The Jerome A Chaussee is situated at 1237 W Divide Ave, in the city of Bismarck, state of ND, with the zip code 585011208.

What is the Jerome A Chaussee's area of specialization and corresponding taxonomy classification?

The Jerome A Chaussee's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When did the Jerome A Chaussee receive its 1982640546?

The Jerome A Chaussee was issued its 1982640546 on 2006-06-21, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Jerome A Chaussee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerome A Chaussee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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