Theresa A Wiese is a Clinical in Washington, Illinois. Theresa A Wiese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa A Wiese is 1891750816. The last update date is 2023-05-01.
Theresa A Wiese's current location address is 310 Hillcrest Dr, Washington, Illinois. You can contact this provider via phone number 3096451318. The mailing address for Theresa A Wiese is 310 Hillcrest Dr, Washington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa A Wiese |
|---|---|
| Address | 310 Hillcrest Dr, Washington, Illinois |
| Phone Number | 3096451318 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1891750816 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 310 Hillcrest Dr |
|---|---|
| City | Washington |
| State | Illinois (IL) |
| Post Code | 615712221 |
| Phone Number | 3096451318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 Theresa A Wiese's unique identification number?
The Theresa A Wiese has been assigned the NPI (National Provider Identifier) Number 1891750816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Theresa A Wiese's physical address?
The Theresa A Wiese is physically located at 310 Hillcrest Dr, in the city of Washington, IL, with the postal code 615712221.
What is Theresa A Wiese's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theresa A Wiese is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Theresa A Wiese's 1891750816 issued?
The Theresa A Wiese's 1891750816 was issued on 2006-04-20.
As of what date was the information regarding Theresa A Wiese, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa A Wiese, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-01.