Fred Richard Mignone in Blacksburg - Clinical
Fred Richard Mignone - NPI 1538131446
Fred Richard Mignone is a Clinical in Blacksburg, Virginia. Fred Richard Mignone practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Richard Mignone is 1538131446. The last update date is 2017-04-10.
Fred Richard Mignone's current location address is 1715 Ginger Ln, Blacksburg, Virginia. You can contact this provider via phone number 5403813101 and fax number 5403813105. The mailing address for Fred Richard Mignone is 1715 Ginger Ln, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Richard Mignone |
|---|---|
| Address | 1715 Ginger Ln, Blacksburg, Virginia |
| Phone Number | 5403813101 |
| Fax Number | 5403813105 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1538131446 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 1715 Ginger Ln |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240602049 |
| Phone Number | 5403813101 |
| Fax Number | 5403813105 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904005115 |
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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 |
|---|---|---|---|
| 8942455 | VA | -- | |
| 515460 | VALUE OPTIONS | ||
| 2116435 | MAMSI | ||
| 455673000 | MAGELLAN | ||
| 436723 | VA | ANTHEM | |
| 7819434 | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Fred Richard Mignone by the Centers for Medicare & Medicaid Services (CMS)?
The Fred Richard Mignone has been assigned the NPI (National Provider Identifier) 1538131446. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Fred Richard Mignone's facilities are situated?
The facilities of Fred Richard Mignone are physically located at the following address: 1715 Ginger Ln, Blacksburg, VA, 240602049.
What is Fred Richard Mignone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fred Richard Mignone is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Fred Richard Mignone receive its 1538131446 assignment?
The Fred Richard Mignone was assigned its 1538131446 on 2006-02-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Fred Richard Mignone, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fred Richard Mignone, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-10.
NPI Number: 1215930425
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