Caryn Bub-Standal in Greenfield - Clinical
Caryn Bub-Standal - NPI 1851441034
Caryn Bub-Standal is a Clinical in Greenfield, Wisconsin. Caryn Bub-Standal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Caryn Bub-Standal is 1851441034. The last update date is 2022-09-26.
Caryn Bub-Standal's current location address is 4811 S 76th St Ste 305, Greenfield, Wisconsin. You can contact this provider via phone number 4143257741 and fax number 4143257753. The mailing address for Caryn Bub-Standal is 4811 S 76th St Ste 305, Greenfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Caryn Bub-Standal |
|---|---|
| Address | 4811 S 76th St Ste 305, Greenfield, Wisconsin |
| Phone Number | 4143257741 |
| Fax Number | 4143257753 |
| Sole Proprietor | N |
| Credentials | LCSW, LMFT |
NPI Number Detail
| NPI Number | 1851441034 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2022-09-26 |
Provider Mailing Address Detail
| Address | 4811 S 76th St Ste 305 |
|---|---|
| City | Greenfield |
| State | Wisconsin (WI) |
| Post Code | 532204364 |
| Phone Number | 4143257741 |
| Fax Number | 4143257753 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2792-123 |
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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 |
|---|---|---|---|
| 391805443007 | WI | BCBS | |
| 39645500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Caryn Bub-Standal by the Centers for Medicare & Medicaid Services (CMS)?
The Caryn Bub-Standal has been assigned the NPI (National Provider Identifier) 1851441034. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Caryn Bub-Standal is physically located?
The Caryn Bub-Standal is physically situated at the following address: 4811 S 76Th St Ste 305, Greenfield, WI, 532204364.
What is the Caryn Bub-Standal's specialty and taxonomy code?
The Caryn Bub-Standal's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Caryn Bub-Standal receive its 1851441034 assignment from the Centers for Medicare & Medicaid Services?
The Caryn Bub-Standal was assigned its 1851441034 on 2007-01-11, 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 Caryn Bub-Standal most recently updated or revised?
The details related to Caryn Bub-Standal, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-26.