Sandra D Bouman in Waukesha - Social Worker

Sandra D Bouman - NPI 1164510954

Sandra D Bouman is a Social Worker in Waukesha, Wisconsin. Sandra D Bouman practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Sandra D Bouman is 1164510954. The last update date is 2007-07-08.

Sandra D Bouman's current location address is 414 W Moreland Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625475567 and fax number 2625471608. The mailing address for Sandra D Bouman is 414 W Moreland Blvd, Waukesha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra D Bouman
Address 414 W Moreland Blvd, Waukesha, Wisconsin
Phone Number 2625475567
Fax Number 2625471608
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1164510954
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 414 W Moreland Blvd
City Waukesha
State Wisconsin (WI)
Post Code 53188
Phone Number 2625475567
Fax Number 2625471608

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 1962123
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39509400 WI --

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FAQs about Sandra D Bouman

What is the Sandra D Bouman's 1164510954?

The Sandra D Bouman's NPI (National Provider Identifier) Number is 1164510954. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sandra D Bouman is physically located?

The Sandra D Bouman is situated at the following address: 414 W Moreland Blvd, Waukesha, WI 53188.

What is Sandra D Bouman's area of expertise and its corresponding taxonomy classification?

The Sandra D Bouman's field of specialization is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1164510954 to Sandra D Bouman?

The Sandra D Bouman received its 1164510954 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date was the information pertaining to Sandra D Bouman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sandra D Bouman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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