Tracy Radig Nelson is a Clinical in Fargo, North Dakota. Tracy Radig Nelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Radig Nelson is 1649469461. The last update date is 2020-12-09.
Tracy Radig Nelson's current location address is 510 4th St S, Fargo, North Dakota. You can contact this provider via phone number 7014767200 and fax number 7014767261. The mailing address for Tracy Radig Nelson is 510 4th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Radig Nelson |
|---|---|
| Address | 510 4th St S, Fargo, North Dakota |
| Phone Number | 7014767200 |
| Fax Number | 7014767261 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649469461 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2020-12-09 |
Provider Mailing Address Detail
| Address | 510 4th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581031914 |
| Phone Number | 7014767200 |
| Fax Number | 7014767261 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3309 |
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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 identification code assigned to Tracy Radig Nelson by the Centers for Medicare & Medicaid Services?
The Tracy Radig Nelson has been issued the NPI (National Provider Identifier) 1649469461, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracy Radig Nelson is physically located?
The Tracy Radig Nelson is physically situated at the following address: 510 4Th St S, Fargo, ND, 581031914.
What is Tracy Radig Nelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy Radig Nelson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Tracy Radig Nelson receive the assignment of its 1649469461 from the Centers for Medicare & Medicaid Services?
The Tracy Radig Nelson was issued its 1649469461 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the Tracy Radig Nelson's details last updated?
The information pertaining to the Tracy Radig Nelson, including its address, specialty, and other details, was most recently updated on 2020-12-09.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC