Michael Shock is a Clinical in Devils Lake, North Dakota. Michael Shock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Shock is 1659404556. The last update date is 2017-10-27.
Michael Shock's current location address is Po Box 650, Devils Lake, North Dakota. You can contact this provider via phone number 7016652200 and fax number 7016652300. The mailing address for Michael Shock is Po Box 650, Devils Lake, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shock |
|---|---|
| Address | Po Box 650, Devils Lake, North Dakota |
| Phone Number | 7016652200 |
| Fax Number | 7016652300 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1659404556 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2017-10-27 |
Provider Mailing Address Detail
| Address | Po Box 650 |
|---|---|
| City | Devils Lake |
| State | North Dakota (ND) |
| Post Code | 583010650 |
| Phone Number | 7016652200 |
| Fax Number | 7016652300 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4694 |
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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 |
|---|---|---|---|
| 1456526 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Shock by the Centers for Medicare & Medicaid Services?
The Michael Shock has been issued the NPI (National Provider Identifier) 1659404556 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 Michael Shock's facilities are situated?
The facilities of Michael Shock are physically located at the following address: Po Box 650, Devils Lake, ND, 583010650.
What is the Michael Shock's specialty and taxonomy code?
The Michael Shock's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Michael Shock receive its 1659404556 assignment from the Centers for Medicare & Medicaid Services?
The Michael Shock was assigned its 1659404556 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date was the information regarding Michael Shock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Shock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-10-27.
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