Marlin V Andrus in South Jordan - Clinical

Marlin V Andrus - NPI 1215085691

Marlin V Andrus is a Clinical in South Jordan, Utah. Marlin V Andrus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marlin V Andrus is 1215085691. The last update date is 2007-07-08.

Marlin V Andrus's current location address is 1196 W South Jordan Pkwy Ste A3, South Jordan, Utah. You can contact this provider via phone number 8012533169 and fax number 8014464499. The mailing address for Marlin V Andrus is 1196 W South Jordan Pkwy Ste A3, South Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Marlin V Andrus
Address 1196 W South Jordan Pkwy Ste A3, South Jordan, Utah
Phone Number 8012533169
Fax Number 8014464499
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1215085691
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1196 W South Jordan Pkwy Ste A3
City South Jordan
State Utah (UT)
Post Code 840954604
Phone Number 8012533169
Fax Number 8014464499

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 133426-3501
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1334263501 UT STATE PROFESSIONAL LICENS

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FAQs about Marlin V Andrus

What is the unique 10-digit identifier code issued to Marlin V Andrus by the Centers for Medicare & Medicaid Services?

The Marlin V Andrus has been assigned the NPI (National Provider Identifier) 1215085691 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Marlin V Andrus is physically located?

The Marlin V Andrus is situated at the following address: 1196 W South Jordan Pkwy Ste A3, South Jordan, UT 840954604.

What is Marlin V Andrus's area of expertise and its corresponding taxonomy classification?

The Marlin V Andrus'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 was the Marlin V Andrus's 1215085691 issued?

The Marlin V Andrus's 1215085691 was issued on 2007-01-08.

When was the Marlin V Andrus's information last updated?

The Marlin V Andrus's information was last updated on 2007-07-08.

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