Michelle R. Witt in Edwardsville - Clinical

Michelle R. Witt - NPI 1902020944

Michelle R. Witt is a Clinical in Edwardsville, Illinois. Michelle R. Witt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle R. Witt is 1902020944. The last update date is 2020-12-27.

Michelle R. Witt's current location address is 210 Burns Farm Blvd N, Edwardsville, Illinois. You can contact this provider via phone number 6184013825. The mailing address for Michelle R. Witt is 210 Burns Farm Blvd N, Edwardsville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle R. Witt
Address 210 Burns Farm Blvd N, Edwardsville, Illinois
Phone Number 6184013825
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1902020944
Provider Enumeration Date 2007-04-12
Last Updated Date 2020-12-27

Provider Mailing Address Detail

Address 210 Burns Farm Blvd N
City Edwardsville
State Illinois (IL)
Post Code 620252498
Phone Number 6184013825
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149-012361
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
149-012361 IL LCSW

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FAQs about Michelle R. Witt

What is the unique provider identifier assigned to Michelle R. Witt?

The Michelle R. Witt has been issued the NPI (National Provider Identifier) 1902020944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Michelle R. Witt's facilities are situated?

The facilities of Michelle R. Witt are physically located at the following address: 210 Burns Farm Blvd N, Edwardsville, IL, 620252498.

What is Michelle R. Witt's area of expertise and its corresponding taxonomy classification?

The Michelle R. Witt'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 Michelle R. Witt's 1902020944 issued?

The Michelle R. Witt's 1902020944 was issued on 2007-04-12.

As of what date was the information regarding Michelle R. Witt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michelle R. Witt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-27.

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