Kristina S Cavalli in Grand Forks - Clinical
Kristina S Cavalli - NPI 1912092263
Kristina S Cavalli is a Clinical in Grand Forks, North Dakota. Kristina S Cavalli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristina S Cavalli is 1912092263. The last update date is 2015-02-26.
Kristina S Cavalli's current location address is 1407 24th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017380888 and fax number 7017380889. The mailing address for Kristina S Cavalli is 1407 24th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristina S Cavalli |
|---|---|
| Address | 1407 24th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017380888 |
| Fax Number | 7017380889 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1912092263 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2015-02-26 |
Provider Mailing Address Detail
| Address | 1407 24th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582016761 |
| Phone Number | 7017380888 |
| Fax Number | 7017380889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3756 |
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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 |
|---|---|---|---|
| 19108 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kristina S Cavalli by the Centers for Medicare & Medicaid Services (CMS)?
The Kristina S Cavalli has been assigned the NPI (National Provider Identifier) 1912092263. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kristina S Cavalli is physically located?
The Kristina S Cavalli is situated at the following address: 1407 24Th Ave S, Grand Forks, ND 582016761.
What is Kristina S Cavalli's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristina S Cavalli's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Kristina S Cavalli receive its 1912092263?
The Kristina S Cavalli was issued its 1912092263 on 2006-10-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kristina S Cavalli, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristina S Cavalli, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-26.