Craig W Berthold is a Clinical in Bountiful, Utah. Craig W Berthold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig W Berthold is 1316088586. The last update date is 2007-07-08.
Craig W Berthold's current location address is 415 Medical Dr, Bountiful, Utah. You can contact this provider via phone number 8012922389 and fax number 8012922873. The mailing address for Craig W Berthold is 415 Medical Dr, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W Berthold |
|---|---|
| Address | 415 Medical Dr, Bountiful, Utah |
| Phone Number | 8012922389 |
| Fax Number | 8012922873 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1316088586 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 Medical Dr |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840104946 |
| Phone Number | 8012922389 |
| Fax Number | 8012922873 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 120978-3501 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Craig W Berthold by the Centers for Medicare & Medicaid Services?
The Craig W Berthold has been assigned the NPI (National Provider Identifier) 1316088586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Craig W Berthold is geographically located?
The Craig W Berthold is physically situated at the following location: 415 Medical Dr, Bountiful, UT, 840104946.
What is Craig W Berthold's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Craig W Berthold is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Craig W Berthold receive its 1316088586 assignment from the Centers for Medicare & Medicaid Services?
The Craig W Berthold was assigned its 1316088586 by the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the Craig W Berthold's information last updated?
The Craig W Berthold's information was last updated on 2007-07-08.