Walter Drew Brandli in Fond Du Lac - Clinical
Walter Drew Brandli - NPI 1972608610
Walter Drew Brandli is a Clinical in Fond Du Lac, Wisconsin. Walter Drew Brandli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Walter Drew Brandli is 1972608610. The last update date is 2022-08-03.
Walter Drew Brandli's current location address is 430 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209264200 and fax number 9209268885. The mailing address for Walter Drew Brandli is 430 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Walter Drew Brandli |
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Address | 430 E Division St, Fond Du Lac, Wisconsin |
Phone Number | 9209264200 |
Fax Number | 9209268885 |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1972608610 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2022-08-03 |
Provider Mailing Address Detail
Address | 430 E Division St |
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City | Fond Du Lac |
State | Wisconsin (WI) |
Post Code | 549354560 |
Phone Number | 9209264200 |
Fax Number | 9209268885 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1063 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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12840 | WI | DEAN HEALTH | |
39619800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Walter Drew Brandli by the Centers for Medicare & Medicaid Services?
The Walter Drew Brandli has been issued the NPI (National Provider Identifier) 1972608610, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Walter Drew Brandli?
The Walter Drew Brandli is situated at 430 E Division St, in the city of Fond Du Lac, state of WI, with the zip code 549354560.
What is Walter Drew Brandli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walter Drew Brandli's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Walter Drew Brandli's 1972608610 issued?
The Walter Drew Brandli's 1972608610 was issued on 2006-09-14.
When was the information related to Walter Drew Brandli most recently updated or refreshed?
The details pertaining to the Walter Drew Brandli, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-03.