David K Hendricks is a Clinical in La Crosse, Wisconsin. David K Hendricks practices all healthcare services and medical treatments related to Clinical. The NPI Number for David K Hendricks is 1801881966. The last update date is 2007-07-08.
David K Hendricks's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300 and fax number 6087754467. The mailing address for David K Hendricks is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David K Hendricks |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
| Sole Proprietor | X |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1801881966 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6760 |
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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 |
|---|---|---|---|
| 39502100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David K Hendricks by the Centers for Medicare & Medicaid Services (CMS)?
The David K Hendricks has been assigned the NPI (National Provider Identifier) 1801881966. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where David K Hendricks is geographically located?
The David K Hendricks is physically situated at the following location: 1836 South Ave, La Crosse, WI, 546015429.
What is the David K Hendricks's area of specialization and corresponding taxonomy classification?
The David K Hendricks's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801881966 to David K Hendricks?
The Centers for Medicare & Medicaid Services originally issued the 1801881966 to David K Hendricks on 2005-09-14.
As of what date was the information regarding David K Hendricks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David K Hendricks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.