Michael Sean Bouck in Salt Lake City - Clinical
Michael Sean Bouck - NPI 1922165505
Michael Sean Bouck is a Clinical in Salt Lake City, Utah. Michael Sean Bouck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Sean Bouck is 1922165505. The last update date is 2012-12-03.
Michael Sean Bouck's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8013875600. The mailing address for Michael Sean Bouck is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Sean Bouck |
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Address | Po Box 27128, Salt Lake City, Utah |
Phone Number | 8013875600 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1922165505 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2012-12-03 |
Provider Mailing Address Detail
Address | Po Box 27128 |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841270128 |
Phone Number | 8013875600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4788797-3501 |
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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What is the unique 10-digit identification code issued to Michael Sean Bouck by the Centers for Medicare & Medicaid Services?
The Michael Sean Bouck has been assigned the NPI (National Provider Identifier) 1922165505 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 address where Michael Sean Bouck is physically located?
The Michael Sean Bouck is situated at the following address: Po Box 27128, Salt Lake City, UT 841270128.
What is the Michael Sean Bouck's specialty and taxonomy code?
The Michael Sean Bouck's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Michael Sean Bouck receive the assignment of its 1922165505 from the Centers for Medicare & Medicaid Services?
The Michael Sean Bouck was issued its 1922165505 by the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information related to Michael Sean Bouck most recently updated or refreshed?
The details pertaining to the Michael Sean Bouck, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-03.