Gale Ziccarelli is a Clinical in Kenosha, Wisconsin. Gale Ziccarelli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gale Ziccarelli is 1568578912. The last update date is 2008-06-30.
Gale Ziccarelli's current location address is 6233 39th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626541004 and fax number 2626546960. The mailing address for Gale Ziccarelli is 6233 39th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gale Ziccarelli |
|---|---|
| Address | 6233 39th Ave, Kenosha, Wisconsin |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1568578912 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 6233 39th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427015 |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7129-123 |
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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 |
|---|---|---|---|
| 40982100 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gale Ziccarelli?
The Gale Ziccarelli has been issued the NPI (National Provider Identifier) 1568578912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gale Ziccarelli?
The Gale Ziccarelli is situated at 6233 39Th Ave, in the city of Kenosha, state of WI, with the zip code 531427015.
Could you please share the complete physical address where Gale Ziccarelli is geographically located?
The Gale Ziccarelli is physically situated at the following location: 6233 39Th Ave, Kenosha, WI, 531427015.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568578912 to Gale Ziccarelli?
The Centers for Medicare & Medicaid Services originally issued the 1568578912 to Gale Ziccarelli on 2006-08-21.
When was the information regarding Gale Ziccarelli, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gale Ziccarelli, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-30.