Tina Suzanne Wiesert in Indianapolis - Clinical

Tina Suzanne Wiesert - NPI 1801011069

Tina Suzanne Wiesert is a Clinical in Indianapolis, Indiana. Tina Suzanne Wiesert practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina Suzanne Wiesert is 1801011069. The last update date is 2007-07-08.

Tina Suzanne Wiesert's current location address is 3171 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3179415010. The mailing address for Tina Suzanne Wiesert is 3171 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina Suzanne Wiesert
Address 3171 N Meridian St, Indianapolis, Indiana
Phone Number 3179415010
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1801011069
Provider Enumeration Date 2007-04-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3171 N Meridian St
City Indianapolis
State Indiana (IN)
Post Code 462084784
Phone Number 3179415010
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34004969A
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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FAQs about Tina Suzanne Wiesert

What is the unique 10-digit identifier code issued to Tina Suzanne Wiesert by the Centers for Medicare & Medicaid Services?

The Tina Suzanne Wiesert has been assigned the NPI (National Provider Identifier) 1801011069 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Tina Suzanne Wiesert?

The Tina Suzanne Wiesert is physically situated at 3171 N Meridian St, in the city of Indianapolis, state of IN, with the postal code 462084784.

What is Tina Suzanne Wiesert's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tina Suzanne Wiesert is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1801011069 to Tina Suzanne Wiesert?

The Tina Suzanne Wiesert received its 1801011069 assignment from the Centers for Medicare & Medicaid Services on 2007-04-14.

When was the information regarding Tina Suzanne Wiesert most recently updated?

The details pertaining to the Tina Suzanne Wiesert, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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