Willard J Secor is a Clinical in Menasha, Wisconsin. Willard J Secor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willard J Secor is 1053388983. The last update date is 2016-08-02.
Willard J Secor's current location address is 1810 Appleton Rd, Menasha, Wisconsin. You can contact this provider via phone number 9207394226 and fax number 9204325966. The mailing address for Willard J Secor is 1810 Appleton Rd, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willard J Secor |
|---|---|
| Address | 1810 Appleton Rd, Menasha, Wisconsin |
| Phone Number | 9207394226 |
| Fax Number | 9204325966 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1053388983 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2016-08-02 |
Provider Mailing Address Detail
| Address | 1810 Appleton Rd |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549521110 |
| Phone Number | 9207394226 |
| Fax Number | 9204325966 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 39294500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Willard J Secor by the Centers for Medicare & Medicaid Services?
The Willard J Secor has been issued the NPI (National Provider Identifier) 1053388983 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Willard J Secor's facilities are geographically located?
The facilities of Willard J Secor are physically situated at the following location: 1810 Appleton Rd, Menasha, WI, 549521110.
What is Willard J Secor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willard J Secor's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Willard J Secor's 1053388983 issued?
The Willard J Secor's 1053388983 was issued on 2006-02-28.
As of what date were the details pertaining to Willard J Secor last refreshed?
The information related to the Willard J Secor, including its address, specialty, and other relevant details, was last updated on 2016-08-02.
NPI Number: 1982607784
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