Raeann Michalko is a Clinical in Monroeville, Pennsylvania. Raeann Michalko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raeann Michalko is 1992720411. The last update date is 2007-07-08.
Raeann Michalko's current location address is 2540 Monroeville Blvd, Monroeville, Pennsylvania. You can contact this provider via phone number 4128235155 and fax number 4128238262. The mailing address for Raeann Michalko is 2540 Monroeville Blvd, Monroeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raeann Michalko |
|---|---|
| Address | 2540 Monroeville Blvd, Monroeville, Pennsylvania |
| Phone Number | 4128235155 |
| Fax Number | 4128238262 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1992720411 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2540 Monroeville Blvd |
|---|---|
| City | Monroeville |
| State | Pennsylvania (PA) |
| Post Code | 151462329 |
| Phone Number | 4128235155 |
| Fax Number | 4128238262 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 659407 | PA | BC/BS | |
| 4412 | PA | UPMC |
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What is the Raeann Michalko's unique identification number?
The Raeann Michalko has been assigned the NPI (National Provider Identifier) Number 1992720411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Raeann Michalko located?
The Raeann Michalko is located at 2540 Monroeville Blvd, Monroeville, PA 151462329.
What is Raeann Michalko's area of expertise and its corresponding taxonomy classification?
The Raeann Michalko's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Raeann Michalko receive its 1992720411?
The Raeann Michalko was issued its 1992720411 on 2006-07-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Raeann Michalko's details last updated?
The information pertaining to the Raeann Michalko, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1104826072
Address: 16581 Brookhurst St, Fountain Valley, CA