Kristal Kay Wichman in Appleton - Clinical
Kristal Kay Wichman - NPI 1902002371
Kristal Kay Wichman is a Clinical in Appleton, Wisconsin. Kristal Kay Wichman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristal Kay Wichman is 1902002371. The last update date is 2023-07-19.
Kristal Kay Wichman's current location address is 621 W Lawrence St # 105, Appleton, Wisconsin. You can contact this provider via phone number 9202779085. The mailing address for Kristal Kay Wichman is 621 W Lawrence St # 105, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristal Kay Wichman |
|---|---|
| Address | 621 W Lawrence St # 105, Appleton, Wisconsin |
| Phone Number | 9202779085 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1902002371 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2023-07-19 |
Provider Mailing Address Detail
| Address | 621 W Lawrence St # 105 |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549115834 |
| Phone Number | 9202779085 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7923-123 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kristal Kay Wichman by the Centers for Medicare & Medicaid Services (CMS)?
The Kristal Kay Wichman has been assigned the NPI (National Provider Identifier) 1902002371. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kristal Kay Wichman is physically located?
The Kristal Kay Wichman is physically situated at the following address: 621 W Lawrence St # 105, Appleton, WI, 549115834.
What is Kristal Kay Wichman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristal Kay Wichman is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902002371 to Kristal Kay Wichman?
The Kristal Kay Wichman received its 1902002371 assignment from the Centers for Medicare & Medicaid Services on 2007-06-22.
When was the information regarding Kristal Kay Wichman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kristal Kay Wichman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-19.