Joseph John Wittenberg in Coon Rapids - Clinical
Joseph John Wittenberg - NPI 1073788386
Joseph John Wittenberg is a Clinical in Coon Rapids, Minnesota. Joseph John Wittenberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph John Wittenberg is 1073788386. The last update date is 2008-04-28.
Joseph John Wittenberg's current location address is 11220 Crocus St Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637674702. The mailing address for Joseph John Wittenberg is 11220 Crocus St Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph John Wittenberg |
|---|---|
| Address | 11220 Crocus St Nw, Coon Rapids, Minnesota |
| Phone Number | 7637674702 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1073788386 |
|---|---|
| Provider Enumeration Date | 2008-04-28 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 11220 Crocus St Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 55433 |
| Phone Number | 7637674702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15449 |
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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 identifier code issued to Joseph John Wittenberg by the Centers for Medicare & Medicaid Services (CMS)?
The Joseph John Wittenberg has been assigned the NPI (National Provider Identifier) 1073788386. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Joseph John Wittenberg's facilities are situated?
The facilities of Joseph John Wittenberg are physically located at the following address: 11220 Crocus St Nw, Coon Rapids, MN, 55433.
What is Joseph John Wittenberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joseph John Wittenberg is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Joseph John Wittenberg's 1073788386 issued?
The Joseph John Wittenberg's 1073788386 was issued on 2008-04-28.
When was the information pertaining to Joseph John Wittenberg most recently updated or revised?
The details related to Joseph John Wittenberg, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-28.
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