Mathew Dell Madsen is a Clinical in Provo, Utah. Mathew Dell Madsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mathew Dell Madsen is 1073607990. The last update date is 2007-07-08.
Mathew Dell Madsen's current location address is 750 N Freedom Blvd, Provo, Utah. You can contact this provider via phone number 8013734760. The mailing address for Mathew Dell Madsen is 750 N Freedom Blvd, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mathew Dell Madsen |
|---|---|
| Address | 750 N Freedom Blvd, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073607990 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 750 N Freedom Blvd |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011677 |
| Phone Number | 8013734760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 141569-3501 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5742637 | UT | -- |
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What is the unique 10-digit identification code issued to Mathew Dell Madsen by the Centers for Medicare & Medicaid Services?
The Mathew Dell Madsen has been assigned the NPI (National Provider Identifier) 1073607990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mathew Dell Madsen is located?
The Mathew Dell Madsen is situated at the following address: 750 N Freedom Blvd, Provo, UT, 846011677.
What is Mathew Dell Madsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mathew Dell Madsen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Mathew Dell Madsen receive its 1073607990 assignment from the Centers for Medicare & Medicaid Services?
The Mathew Dell Madsen was assigned its 1073607990 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mathew Dell Madsen most recently updated?
The details pertaining to the Mathew Dell Madsen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN