Linda Kathryn Waller in Dickinson - Clinical
Linda Kathryn Waller - NPI 1407888621
Linda Kathryn Waller is a Clinical in Dickinson, North Dakota. Linda Kathryn Waller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Linda Kathryn Waller is 1407888621. The last update date is 2016-01-19.
Linda Kathryn Waller's current location address is 300 13th Ave W Ste 1, Dickinson, North Dakota. You can contact this provider via phone number 7012277508 and fax number 7012277575. The mailing address for Linda Kathryn Waller is 300 13th Ave W Ste 1, Dickinson, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Kathryn Waller |
|---|---|
| Address | 300 13th Ave W Ste 1, Dickinson, North Dakota |
| Phone Number | 7012277508 |
| Fax Number | 7012277575 |
| Sole Proprietor | N |
| Credentials | LICSW, BCD |
NPI Number Detail
| NPI Number | 1407888621 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2016-01-19 |
Provider Mailing Address Detail
| Address | 300 13th Ave W Ste 1 |
|---|---|
| City | Dickinson |
| State | North Dakota (ND) |
| Post Code | 586014875 |
| Phone Number | 7012277508 |
| Fax Number | 7012277575 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1826 |
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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 |
|---|---|---|---|
| 54523 | ND | -- | |
| 12661 | ND | BC/BS PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Linda Kathryn Waller by the Centers for Medicare & Medicaid Services?
The Linda Kathryn Waller has been issued the NPI (National Provider Identifier) 1407888621, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Linda Kathryn Waller's facilities are situated?
The facilities of Linda Kathryn Waller are physically located at the following address: 300 13Th Ave W Ste 1, Dickinson, ND, 586014875.
What is Linda Kathryn Waller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Linda Kathryn Waller's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Linda Kathryn Waller receive its 1407888621 assignment from the Centers for Medicare & Medicaid Services?
The Linda Kathryn Waller was assigned its 1407888621 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the details related to Linda Kathryn Waller most recently updated or revised?
The information pertaining to Linda Kathryn Waller, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-19.
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