Gregory W Chism in Madison - Clinical

Gregory W Chism - NPI 1972662013

Gregory W Chism is a Clinical in Madison, Wisconsin. Gregory W Chism practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory W Chism is 1972662013. The last update date is 2007-07-08.

Gregory W Chism's current location address is 128 E Olin Ave, Madison, Wisconsin. You can contact this provider via phone number 6082521320 and fax number 6082521333. The mailing address for Gregory W Chism is 128 E Olin Ave, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory W Chism
Address 128 E Olin Ave, Madison, Wisconsin
Phone Number 6082521320
Fax Number 6082521333
Sole Proprietor N
Credentials MSW LCSW

NPI Number Detail

NPI Number 1972662013
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 128 E Olin Ave
City Madison
State Wisconsin (WI)
Post Code 53713
Phone Number 6082521320
Fax Number 6082521333

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6680-123
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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FAQs about Gregory W Chism

What is the unique provider identifier assigned to Gregory W Chism?

The Gregory W Chism has been issued the NPI (National Provider Identifier) 1972662013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Gregory W Chism is physically located?

The Gregory W Chism is physically situated at the following address: 128 E Olin Ave, Madison, WI, 53713.

What is Gregory W Chism'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 Gregory W Chism is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did the Gregory W Chism receive its 1972662013?

The Gregory W Chism was issued its 1972662013 on 2006-12-06, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Gregory W Chism, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregory W Chism, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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