Patricia A Desjardin in Chippewa Falls - Clinical
Patricia A Desjardin - NPI 1396819793
Patricia A Desjardin is a Clinical in Chippewa Falls, Wisconsin. Patricia A Desjardin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia A Desjardin is 1396819793. The last update date is 2007-07-08.
Patricia A Desjardin's current location address is 711 N Bridge Street, Chippewa Falls, Wisconsin. You can contact this provider via phone number 7157267788 and fax number 7157264560. The mailing address for Patricia A Desjardin is 711 N Bridge Street, Chippewa Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Desjardin |
|---|---|
| Address | 711 N Bridge Street, Chippewa Falls, Wisconsin |
| Phone Number | 7157267788 |
| Fax Number | 7157264560 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1396819793 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 711 N Bridge Street |
|---|---|
| City | Chippewa Falls |
| State | Wisconsin (WI) |
| Post Code | 547291876 |
| Phone Number | 7157267788 |
| Fax Number | 7157264560 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1173123 |
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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 |
|---|---|---|---|
| 39637400 | WI | -- | |
| 54173 | WI | SECURITY HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Patricia A Desjardin by the Centers for Medicare & Medicaid Services (CMS)?
The Patricia A Desjardin has been assigned the NPI (National Provider Identifier) 1396819793. 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 Patricia A Desjardin is physically located?
The Patricia A Desjardin is physically situated at the following address: 711 N Bridge Street, Chippewa Falls, WI, 547291876.
What is the Patricia A Desjardin's area of specialization and corresponding taxonomy classification?
The Patricia A Desjardin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Patricia A Desjardin receive its 1396819793 assignment from the Centers for Medicare & Medicaid Services?
The Patricia A Desjardin was assigned its 1396819793 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the details pertaining to Patricia A Desjardin last refreshed?
The information related to the Patricia A Desjardin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.