Diane M Moga-Roach in Appleton - Clinical
Diane M Moga-Roach - NPI 1700923471
Diane M Moga-Roach is a Clinical in Appleton, Wisconsin. Diane M Moga-Roach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane M Moga-Roach is 1700923471. The last update date is 2007-07-08.
Diane M Moga-Roach's current location address is W5488 Quarry Rd, Appleton, Wisconsin. You can contact this provider via phone number 9207392212. The mailing address for Diane M Moga-Roach is W5488 Quarry Rd, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane M Moga-Roach |
|---|---|
| Address | W5488 Quarry Rd, Appleton, Wisconsin |
| Phone Number | 9207392212 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSE, LCSW, |
NPI Number Detail
| NPI Number | 1700923471 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | W5488 Quarry Rd |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549139790 |
| Phone Number | 9207392212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3562-123 |
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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 |
|---|---|---|---|
| 39742500 | WI | -- |
Post Comment/ Review Below
What is the Diane M Moga-Roach's 1700923471?
The Diane M Moga-Roach's NPI (National Provider Identifier) Number is 1700923471. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diane M Moga-Roach?
The Diane M Moga-Roach is situated at W5488 Quarry Rd, in the city of Appleton, state of WI, with the zip code 549139790.
What is Diane M Moga-Roach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane M Moga-Roach is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700923471 to Diane M Moga-Roach?
The Diane M Moga-Roach received its 1700923471 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the Diane M Moga-Roach's details last updated?
The information pertaining to the Diane M Moga-Roach, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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