Wendy G Etzkorn is a Clinical in Hurricane, . Wendy G Etzkorn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wendy G Etzkorn is 1912099862. The last update date is 2007-07-08.
Wendy G Etzkorn's current location address is 104 Station Place Way, Hurricane, . You can contact this provider via phone number 3047577788 and fax number 3042011140. The mailing address for Wendy G Etzkorn is 104 Station Place Way, Hurricane, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy G Etzkorn |
|---|---|
| Address | 104 Station Place Way, Hurricane, |
| Phone Number | 3047577788 |
| Fax Number | 3042011140 |
| Sole Proprietor | N |
| Credentials | MSW LICSW |
NPI Number Detail
| NPI Number | 1912099862 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 Station Place Way |
|---|---|
| City | Hurricane |
| State | (WV) |
| Post Code | 25526 |
| Phone Number | 3047577788 |
| Fax Number | 3042011140 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | DP00454495 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Wendy G Etzkorn?
The Wendy G Etzkorn has been issued the NPI (National Provider Identifier) 1912099862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Wendy G Etzkorn is physically located?
The Wendy G Etzkorn is situated at the following address: 104 Station Place Way, Hurricane, WV 25526.
What is Wendy G Etzkorn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendy G Etzkorn's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Wendy G Etzkorn receive its 1912099862?
The Wendy G Etzkorn was issued its 1912099862 on 2006-09-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Wendy G Etzkorn last refreshed?
The information related to the Wendy G Etzkorn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.