Pat Bernacchi is a Clinical in Kenosha, Wisconsin. Pat Bernacchi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pat Bernacchi is 1174697460. The last update date is 2007-07-08.
Pat Bernacchi's current location address is 3734 7th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626549370 and fax number 2626549379. The mailing address for Pat Bernacchi is 3734 7th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pat Bernacchi |
|---|---|
| Address | 3734 7th Ave, Kenosha, Wisconsin |
| Phone Number | 2626549370 |
| Fax Number | 2626549379 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174697460 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3734 7th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531405525 |
| Phone Number | 2626549370 |
| Fax Number | 2626549379 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1031-123 |
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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 |
|---|---|---|---|
| 39512900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pat Bernacchi by the Centers for Medicare & Medicaid Services?
The Pat Bernacchi has been assigned the NPI (National Provider Identifier) 1174697460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Pat Bernacchi is physically located?
The Pat Bernacchi is situated at the following address: 3734 7Th Ave, Kenosha, WI 531405525.
What is Pat Bernacchi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pat Bernacchi is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174697460 to Pat Bernacchi?
The Centers for Medicare & Medicaid Services assigned the 1174697460 to Pat Bernacchi on 2006-11-20.
When was the Pat Bernacchi's information last updated?
The Pat Bernacchi's information was last updated on 2007-07-08.