Grace Louise Jessen in Milwaukee - Clinical
Grace Louise Jessen - NPI 1306954920
Grace Louise Jessen is a Clinical in Milwaukee, Wisconsin. Grace Louise Jessen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Grace Louise Jessen is 1306954920. The last update date is 2009-04-29.
Grace Louise Jessen's current location address is 207 E Buffalo St, Milwaukee, Wisconsin. You can contact this provider via phone number 2623757022. The mailing address for Grace Louise Jessen is 207 E Buffalo St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Louise Jessen |
|---|---|
| Address | 207 E Buffalo St, Milwaukee, Wisconsin |
| Phone Number | 2623757022 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306954920 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 207 E Buffalo St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532025739 |
| Phone Number | 2623757022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3469-123 |
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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 |
|---|---|---|---|
| 40917300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Grace Louise Jessen by the Centers for Medicare & Medicaid Services?
The Grace Louise Jessen has been assigned the NPI (National Provider Identifier) 1306954920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Grace Louise Jessen?
The Grace Louise Jessen is physically situated at 207 E Buffalo St, in the city of Milwaukee, state of WI, with the postal code 532025739.
What is the area of specialization for Grace Louise Jessen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grace Louise Jessen is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306954920 to Grace Louise Jessen?
The Centers for Medicare & Medicaid Services assigned the 1306954920 to Grace Louise Jessen on 2006-08-25.
As of what date were the details related to Grace Louise Jessen most recently updated or revised?
The information pertaining to Grace Louise Jessen, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-29.
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