Kimberly Jean Slett Avenson in Bemidji - Clinical
Kimberly Jean Slett Avenson - NPI 1154422012
Kimberly Jean Slett Avenson is a Clinical in Bemidji, Minnesota. Kimberly Jean Slett Avenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Jean Slett Avenson is 1154422012. The last update date is 2019-12-13.
Kimberly Jean Slett Avenson's current location address is 722 15th Street N.w., Bemidji, Minnesota. You can contact this provider via phone number 2187513280 and fax number 2187513298. The mailing address for Kimberly Jean Slett Avenson is 722 15th Street N.w., Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Jean Slett Avenson |
|---|---|
| Address | 722 15th Street N.w., Bemidji, Minnesota |
| Phone Number | 2187513280 |
| Fax Number | 2187513298 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1154422012 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2019-12-13 |
Provider Mailing Address Detail
| Address | 722 15th Street N.w. |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566190640 |
| Phone Number | 2187513280 |
| Fax Number | 2187513298 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15400 |
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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 |
|---|---|---|---|
| 153485800 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Jean Slett Avenson?
The Kimberly Jean Slett Avenson has been issued the NPI (National Provider Identifier) 1154422012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kimberly Jean Slett Avenson is physically located?
The Kimberly Jean Slett Avenson is physically situated at the following address: 722 15Th Street N.W., Bemidji, MN, 566190640.
What is Kimberly Jean Slett Avenson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly Jean Slett Avenson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154422012 to Kimberly Jean Slett Avenson?
The Centers for Medicare & Medicaid Services assigned the 1154422012 to Kimberly Jean Slett Avenson on 2006-09-25.
When was the Kimberly Jean Slett Avenson's information last updated?
The Kimberly Jean Slett Avenson's information was last updated on 2019-12-13.