Joan E Mistur is a Clinical in Avon Lake, Ohio. Joan E Mistur practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan E Mistur is 1013980465. The last update date is 2007-07-08.
Joan E Mistur's current location address is 32730 Walker Rd, Avon Lake, Ohio. You can contact this provider via phone number 4409338770 and fax number 4409338991. The mailing address for Joan E Mistur is 32730 Walker Rd, Avon Lake, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan E Mistur |
|---|---|
| Address | 32730 Walker Rd, Avon Lake, Ohio |
| Phone Number | 4409338770 |
| Fax Number | 4409338991 |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1013980465 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 32730 Walker Rd |
|---|---|
| City | Avon Lake |
| State | Ohio (OH) |
| Post Code | 44012 |
| Phone Number | 4409338770 |
| Fax Number | 4409338991 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I1797 |
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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 |
|---|---|---|---|
| 132154 | OH | ANTHEM MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joan E Mistur by the Centers for Medicare & Medicaid Services?
The Joan E Mistur has been issued the NPI (National Provider Identifier) 1013980465, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joan E Mistur?
The Joan E Mistur is situated at 32730 Walker Rd, in the city of Avon Lake, state of OH, with the zip code 44012.
What is Joan E Mistur's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joan E Mistur is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Joan E Mistur receive its 1013980465 assignment?
The Joan E Mistur was assigned its 1013980465 on 2006-02-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Joan E Mistur most recently updated or revised?
The information pertaining to Joan E Mistur, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.