Amy C Ricker in Green Bay - Clinical

Amy C Ricker - NPI 1467626994

Amy C Ricker is a Clinical in Green Bay, Wisconsin. Amy C Ricker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy C Ricker is 1467626994. The last update date is 2009-11-12.

Amy C Ricker's current location address is 3150 Gershwin Drive, Green Bay, Wisconsin. You can contact this provider via phone number 9203916940 and fax number 9203914870. The mailing address for Amy C Ricker is 3150 Gershwin Drive, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy C Ricker
Address 3150 Gershwin Drive, Green Bay, Wisconsin
Phone Number 9203916940
Fax Number 9203914870
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1467626994
Provider Enumeration Date 2008-04-16
Last Updated Date 2009-11-12

Provider Mailing Address Detail

Address 3150 Gershwin Drive
City Green Bay
State Wisconsin (WI)
Post Code 543115859
Phone Number 9203916940
Fax Number 9203914870

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1933-121
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
40927800 WI --

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FAQs about Amy C Ricker

What is the unique identifier code issued to Amy C Ricker by the Centers for Medicare & Medicaid Services (CMS)?

The Amy C Ricker has been assigned the NPI (National Provider Identifier) 1467626994. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Amy C Ricker's physical address?

The Amy C Ricker is physically located at 3150 Gershwin Drive, in the city of Green Bay, WI, with the postal code 543115859.

What is the area of specialization for Amy C Ricker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Amy C Ricker is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did Amy C Ricker receive its 1467626994 assignment from the Centers for Medicare & Medicaid Services?

The Amy C Ricker was assigned its 1467626994 on 2008-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Amy C Ricker most recently updated or revised?

The details related to Amy C Ricker, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-12.

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