Susan M Matzke is a Clinical in Janesville, Wisconsin. Susan M Matzke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan M Matzke is 1689640401. The last update date is 2007-07-08.
Susan M Matzke's current location address is 1 S Main St, Janesville, Wisconsin. You can contact this provider via phone number 6087570404 and fax number 6087572319. The mailing address for Susan M Matzke is 1 S Main St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Matzke |
|---|---|
| Address | 1 S Main St, Janesville, Wisconsin |
| Phone Number | 6087570404 |
| Fax Number | 6087572319 |
| Sole Proprietor | X |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1689640401 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 S Main St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535453922 |
| Phone Number | 6087570404 |
| Fax Number | 6087572319 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3327-123 |
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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 |
|---|---|---|---|
| 39196700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan M Matzke by the Centers for Medicare & Medicaid Services?
The Susan M Matzke has been issued the NPI (National Provider Identifier) 1689640401, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan M Matzke's physical address?
The Susan M Matzke is physically located at 1 S Main St, in the city of Janesville, WI, with the postal code 535453922.
What is Susan M Matzke'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 Susan M Matzke is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Susan M Matzke receive the assignment of its 1689640401 from the Centers for Medicare & Medicaid Services?
The Susan M Matzke was issued its 1689640401 by the Centers for Medicare & Medicaid Services on 2006-02-23.
As of what date were the Susan M Matzke's details last updated?
The information pertaining to the Susan M Matzke, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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