Elizabeth Ann Wine is a Clinical in Wichita, Kansas. Elizabeth Ann Wine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Ann Wine is 1760680920. The last update date is 2015-05-28.
Elizabeth Ann Wine's current location address is 350 S Broadway St, Wichita, Kansas. You can contact this provider via phone number 3166609600 and fax number 3166609669. The mailing address for Elizabeth Ann Wine is 350 S Broadway St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Ann Wine |
|---|---|
| Address | 350 S Broadway St, Wichita, Kansas |
| Phone Number | 3166609600 |
| Fax Number | 3166609669 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1760680920 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2015-05-28 |
Provider Mailing Address Detail
| Address | 350 S Broadway St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672024304 |
| Phone Number | 3166609600 |
| Fax Number | 3166609669 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4241 |
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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 unique identification code assigned to Elizabeth Ann Wine by the Centers for Medicare & Medicaid Services?
The Elizabeth Ann Wine has been issued the NPI (National Provider Identifier) 1760680920. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Elizabeth Ann Wine?
The Elizabeth Ann Wine is physically situated at 350 S Broadway St, in the city of Wichita, state of KS, with the postal code 672024304.
What is the Elizabeth Ann Wine's area of specialization and corresponding taxonomy classification?
The Elizabeth Ann Wine's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Elizabeth Ann Wine's 1760680920 issued?
The Elizabeth Ann Wine's 1760680920 was issued on 2007-07-10.
When was the information pertaining to Elizabeth Ann Wine most recently updated or revised?
The details related to Elizabeth Ann Wine, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-28.