William J Mathias in Green Bay - Clinical

William J Mathias - NPI 1912071101

William J Mathias is a Clinical in Green Bay, Wisconsin. William J Mathias practices all healthcare services and medical treatments related to Clinical. The NPI Number for William J Mathias is 1912071101. The last update date is 2007-07-08.

William J Mathias's current location address is 130 E Walnut St, Green Bay, Wisconsin. You can contact this provider via phone number 9204378256 and fax number 9204371188. The mailing address for William J Mathias is 130 E Walnut St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name William J Mathias
Address 130 E Walnut St, Green Bay, Wisconsin
Phone Number 9204378256
Fax Number 9204371188
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1912071101
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 130 E Walnut St
City Green Bay
State Wisconsin (WI)
Post Code 543014239
Phone Number 9204378256
Fax Number 9204371188

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2091-123
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
39257500 WI --

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FAQs about William J Mathias

What is the William J Mathias's 1912071101?

The William J Mathias's NPI (National Provider Identifier) Number is 1912071101. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where William J Mathias's facilities are situated?

The facilities of William J Mathias are physically located at the following address: 130 E Walnut St, Green Bay, WI, 543014239.

What is William J Mathias's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for William J Mathias is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912071101 to William J Mathias?

The William J Mathias received its 1912071101 assignment from the Centers for Medicare & Medicaid Services on 2006-11-20.

When was the information pertaining to William J Mathias most recently updated or revised?

The details related to William J Mathias, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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