Kimberlyn J Otto is a Clinical in Evansville, Wisconsin. Kimberlyn J Otto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberlyn J Otto is 1053465989. The last update date is 2011-01-18.
Kimberlyn J Otto's current location address is 300 Union St, Evansville, Wisconsin. You can contact this provider via phone number 6088825613. The mailing address for Kimberlyn J Otto is 300 Union St, Evansville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberlyn J Otto |
|---|---|
| Address | 300 Union St, Evansville, Wisconsin |
| Phone Number | 6088825613 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053465989 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2011-01-18 |
Provider Mailing Address Detail
| Address | 300 Union St |
|---|---|
| City | Evansville |
| State | Wisconsin (WI) |
| Post Code | 535361175 |
| Phone Number | 6088825613 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3013 |
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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 |
|---|---|---|---|
| 39692500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kimberlyn J Otto by the Centers for Medicare & Medicaid Services?
The Kimberlyn J Otto has been assigned the NPI (National Provider Identifier) 1053465989 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kimberlyn J Otto located?
The Kimberlyn J Otto is located at 300 Union St, Evansville, WI 535361175.
What is the Kimberlyn J Otto's area of specialization and corresponding taxonomy classification?
The Kimberlyn J Otto'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 Kimberlyn J Otto receive its 1053465989 assignment from the Centers for Medicare & Medicaid Services?
The Kimberlyn J Otto was assigned its 1053465989 on 2007-01-22, 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 pertaining to Kimberlyn J Otto last refreshed?
The information related to the Kimberlyn J Otto, including its address, specialty, and other relevant details, was last updated on 2011-01-18.
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