Sandra Elise Willoughby in Eau Claire - Clinical
Sandra Elise Willoughby - NPI 1902823826
Sandra Elise Willoughby is a Clinical in Eau Claire, Wisconsin. Sandra Elise Willoughby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Elise Willoughby is 1902823826. The last update date is 2007-07-08.
Sandra Elise Willoughby's current location address is 130 S Barstow St, Eau Claire, Wisconsin. You can contact this provider via phone number 7158337600 and fax number 7158337116. The mailing address for Sandra Elise Willoughby is 130 S Barstow St, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandra Elise Willoughby |
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Address | 130 S Barstow St, Eau Claire, Wisconsin |
Phone Number | 7158337600 |
Fax Number | 7158337116 |
Sole Proprietor | Y |
Credentials | M.S.W., L. |
NPI Number Detail
NPI Number | 1902823826 |
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Provider Enumeration Date | 2006-07-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 130 S Barstow St |
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City | Eau Claire |
State | Wisconsin (WI) |
Post Code | 547013691 |
Phone Number | 7158337600 |
Fax Number | 7158337116 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6585 |
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 unique 10-digit identification code assigned to Sandra Elise Willoughby by the Centers for Medicare & Medicaid Services?
The Sandra Elise Willoughby has been issued the NPI (National Provider Identifier) 1902823826, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sandra Elise Willoughby is physically located?
The Sandra Elise Willoughby is situated at the following address: 130 S Barstow St, Eau Claire, WI 547013691.
What is Sandra Elise Willoughby's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandra Elise Willoughby's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Sandra Elise Willoughby receive its 1902823826 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Elise Willoughby was assigned its 1902823826 by the Centers for Medicare & Medicaid Services on 2006-07-16.
When was the information related to Sandra Elise Willoughby most recently updated or refreshed?
The details pertaining to the Sandra Elise Willoughby, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.