Heather Dawn Wilson in Devils Lake - Clinical

Heather Dawn Wilson - NPI 1720187016

Heather Dawn Wilson is a Clinical in Devils Lake, North Dakota. Heather Dawn Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Dawn Wilson is 1720187016. The last update date is 2011-04-15.

Heather Dawn Wilson's current location address is 200 Highway 2 W, Devils Lake, North Dakota. You can contact this provider via phone number 7091665220 and fax number 7016652300. The mailing address for Heather Dawn Wilson is 200 Highway 2 W, Devils Lake, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Dawn Wilson
Address 200 Highway 2 W, Devils Lake, North Dakota
Phone Number 7091665220
Fax Number 7016652300
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1720187016
Provider Enumeration Date 2006-09-22
Last Updated Date 2011-04-15

Provider Mailing Address Detail

Address 200 Highway 2 W
City Devils Lake
State North Dakota (ND)
Post Code 583013532
Phone Number 7091665220
Fax Number 7016652300

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 3819
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
27582 ND BCBS PIN
54518 ND --

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FAQs about Heather Dawn Wilson

What is the Heather Dawn Wilson's unique identification number?

The Heather Dawn Wilson has been assigned the NPI (National Provider Identifier) Number 1720187016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Heather Dawn Wilson's physical address?

The Heather Dawn Wilson is physically located at 200 Highway 2 W, in the city of Devils Lake, ND, with the postal code 583013532.

What is the Heather Dawn Wilson's area of specialization and corresponding taxonomy classification?

The Heather Dawn Wilson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

What is Heather Dawn Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Heather Dawn Wilson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

As of what date were the details related to Heather Dawn Wilson most recently updated or revised?

The information pertaining to Heather Dawn Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-15.

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