Diane Joy Mross is a Clinical in La Crosse, Wisconsin. Diane Joy Mross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Joy Mross is 1134291552. The last update date is 2007-07-08.
Diane Joy Mross's current location address is 2350 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 7158389856 and fax number 7158387289. The mailing address for Diane Joy Mross is 2350 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Joy Mross |
|---|---|
| Address | 2350 South Ave, La Crosse, Wisconsin |
| Phone Number | 7158389856 |
| Fax Number | 7158387289 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134291552 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2350 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546016272 |
| Phone Number | 7158389856 |
| Fax Number | 7158387289 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 911-123 |
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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 |
|---|---|---|---|
| 39556000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Diane Joy Mross by the Centers for Medicare & Medicaid Services (CMS)?
The Diane Joy Mross has been assigned the NPI (National Provider Identifier) 1134291552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Diane Joy Mross's physical address?
The Diane Joy Mross is physically located at 2350 South Ave, in the city of La Crosse, WI, with the postal code 546016272.
What is Diane Joy Mross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diane Joy Mross is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Diane Joy Mross receive its 1134291552 assignment from the Centers for Medicare & Medicaid Services?
The Diane Joy Mross was assigned its 1134291552 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the Diane Joy Mross's information last updated?
The Diane Joy Mross's information was last updated on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT