Syd L Wiesel is a Clinical in Bandon, Oregon. Syd L Wiesel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Syd L Wiesel is 1669479820. The last update date is 2007-07-09.
Syd L Wiesel's current location address is Po Box 1844, Bandon, Oregon. You can contact this provider via phone number 5413471134 and fax number 5413471134. The mailing address for Syd L Wiesel is Po Box 1844, Bandon, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Syd L Wiesel |
|---|---|
| Address | Po Box 1844, Bandon, Oregon |
| Phone Number | 5413471134 |
| Fax Number | 5413471134 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669479820 |
|---|---|
| Provider Enumeration Date | 2005-07-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 1844 |
|---|---|
| City | Bandon |
| State | Oregon (OR) |
| Post Code | 974111844 |
| Phone Number | 5413471134 |
| Fax Number | 5413471134 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1866 LCSW |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181466 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Syd L Wiesel by the Centers for Medicare & Medicaid Services?
The Syd L Wiesel has been issued the NPI (National Provider Identifier) 1669479820. 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 street address where Syd L Wiesel is physically located?
The Syd L Wiesel is physically situated at the following address: Po Box 1844, Bandon, OR, 974111844.
What is Syd L Wiesel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Syd L Wiesel is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Syd L Wiesel receive its 1669479820 assignment from the Centers for Medicare & Medicaid Services?
The Syd L Wiesel was assigned its 1669479820 on 2005-07-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Syd L Wiesel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Syd L Wiesel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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