Mark A. Premselaar in Henderson - Clinical
Mark A. Premselaar - NPI 1518979889
Mark A. Premselaar is a Clinical in Henderson, Nevada. Mark A. Premselaar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark A. Premselaar is 1518979889. The last update date is 2010-10-07.
Mark A. Premselaar's current location address is 780 Coronado Center Drive, Henderson, Nevada. You can contact this provider via phone number 7023580464 and fax number 7025060098. The mailing address for Mark A. Premselaar is 780 Coronado Center Drive, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A. Premselaar |
|---|---|
| Address | 780 Coronado Center Drive, Henderson, Nevada |
| Phone Number | 7023580464 |
| Fax Number | 7025060098 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1518979889 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2010-10-07 |
Provider Mailing Address Detail
| Address | 780 Coronado Center Drive |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890525056 |
| Phone Number | 7023580464 |
| Fax Number | 7025060098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5782-C |
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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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What is the unique 10-digit identification code issued to Mark A. Premselaar by the Centers for Medicare & Medicaid Services?
The Mark A. Premselaar has been assigned the NPI (National Provider Identifier) 1518979889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark A. Premselaar is physically located?
The Mark A. Premselaar is physically situated at the following address: 780 Coronado Center Drive, Henderson, NV, 890525056.
What is Mark A. Premselaar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark A. Premselaar's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518979889 to Mark A. Premselaar?
The Mark A. Premselaar received its 1518979889 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
When was the information related to Mark A. Premselaar most recently updated or refreshed?
The details pertaining to the Mark A. Premselaar, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-07.