Hadassa B. Wisch in Rockland - Clinical

Hadassa B. Wisch - NPI 1720146103

Hadassa B. Wisch is a Clinical in Rockland, Maine. Hadassa B. Wisch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Hadassa B. Wisch is 1720146103. The last update date is 2007-07-08.

Hadassa B. Wisch's current location address is 32 School Street, Rockland, Maine. You can contact this provider via phone number 2075960955 and fax number 2075960956. The mailing address for Hadassa B. Wisch is 32 School Street, Rockland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Hadassa B. Wisch
Address 32 School Street, Rockland, Maine
Phone Number 2075960955
Fax Number 2075960956
Sole Proprietor Y
Credentials PH.D, LCSW

NPI Number Detail

NPI Number 1720146103
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 32 School Street
City Rockland
State Maine (ME)
Post Code 48412602
Phone Number 2075960955
Fax Number 2075960956

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC9040
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
35286 ME ANTHEM BCBS

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FAQs about Hadassa B. Wisch

What is the Hadassa B. Wisch's unique identification number?

The Hadassa B. Wisch has been assigned the NPI (National Provider Identifier) Number 1720146103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Hadassa B. Wisch is located?

The Hadassa B. Wisch is situated at the following address: 32 School Street, Rockland, ME, 48412602.

What is the Hadassa B. Wisch's specialty and taxonomy code?

The Hadassa B. Wisch's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When did the Hadassa B. Wisch receive its 1720146103?

The Hadassa B. Wisch was issued its 1720146103 on 2006-12-05, which is the date when the organization was assigned this unique identifier.

When was the Hadassa B. Wisch's information last updated?

The Hadassa B. Wisch's information was last updated on 2007-07-08.

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