Pamela Jean Thompson in Breckenridge - Clinical
Pamela Jean Thompson - NPI 1881794642
Pamela Jean Thompson is a Clinical in Breckenridge, Minnesota. Pamela Jean Thompson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pamela Jean Thompson is 1881794642. The last update date is 2014-01-13.
Pamela Jean Thompson's current location address is 415 1/2 Nebraska Ave., Breckenridge, Minnesota. You can contact this provider via phone number 2186439330 and fax number 2186439330. The mailing address for Pamela Jean Thompson is 415 1/2 Nebraska Ave., Breckenridge, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Jean Thompson |
|---|---|
| Address | 415 1/2 Nebraska Ave., Breckenridge, Minnesota |
| Phone Number | 2186439330 |
| Fax Number | 2186439330 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1881794642 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2014-01-13 |
Provider Mailing Address Detail
| Address | 415 1/2 Nebraska Ave. |
|---|---|
| City | Breckenridge |
| State | Minnesota (MN) |
| Post Code | 56520 |
| Phone Number | 2186439330 |
| Fax Number | 2186439330 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LICSW 6408 |
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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 |
|---|---|---|---|
| HFPIN:94954 | MN | HEALTH PARTNERS | |
| 156635100 | MN | -- | |
| 1007124 | MN | PREFERRED ONE | |
| THO22688 | ND | BCBS ND | |
| 067L5TH | MN | BCBS MN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pamela Jean Thompson by the Centers for Medicare & Medicaid Services?
The Pamela Jean Thompson has been issued the NPI (National Provider Identifier) 1881794642 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pamela Jean Thompson is physically located?
The Pamela Jean Thompson is physically situated at the following address: 415 1/2 Nebraska Ave., Breckenridge, MN, 56520.
What is the Pamela Jean Thompson's specialty and taxonomy code?
The Pamela Jean Thompson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881794642 to Pamela Jean Thompson?
The Centers for Medicare & Medicaid Services originally issued the 1881794642 to Pamela Jean Thompson on 2006-09-22.
As of what date was the information regarding Pamela Jean Thompson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pamela Jean Thompson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-13.