Connie Sue Weedman is a Clinical in Sparta, Wisconsin. Connie Sue Weedman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie Sue Weedman is 1558349480. The last update date is 2020-09-15.
Connie Sue Weedman's current location address is 310 W Main St, Sparta, Wisconsin. You can contact this provider via phone number 6087850940. The mailing address for Connie Sue Weedman is 310 W Main St, Sparta, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Connie Sue Weedman |
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Address | 310 W Main St, Sparta, Wisconsin |
Phone Number | 6087850940 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1558349480 |
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Provider Enumeration Date | 2005-12-30 |
Last Updated Date | 2020-09-15 |
Provider Mailing Address Detail
Address | 310 W Main St |
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City | Sparta |
State | Wisconsin (WI) |
Post Code | 54656 |
Phone Number | 6087850940 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 3340-123 |
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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What is the Connie Sue Weedman's unique identification number?
The Connie Sue Weedman has been assigned the NPI (National Provider Identifier) Number 1558349480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Connie Sue Weedman is located?
The Connie Sue Weedman is situated at the following address: 310 W Main St, Sparta, WI, 54656.
What is the Connie Sue Weedman's area of specialization and corresponding taxonomy classification?
The Connie Sue Weedman'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 Connie Sue Weedman receive its 1558349480 assignment from the Centers for Medicare & Medicaid Services?
The Connie Sue Weedman was assigned its 1558349480 on 2005-12-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Connie Sue Weedman most recently updated or revised?
The information pertaining to Connie Sue Weedman, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-15.
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