Roberta A Bronecki is a Clinical in Mauston, Wisconsin. Roberta A Bronecki practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roberta A Bronecki is 1205830965. The last update date is 2019-05-23.
Roberta A Bronecki's current location address is Po Box 359, Mauston, Wisconsin. You can contact this provider via phone number 6088477575 and fax number 6088473096. The mailing address for Roberta A Bronecki is Po Box 359, Mauston, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta A Bronecki |
|---|---|
| Address | Po Box 359, Mauston, Wisconsin |
| Phone Number | 6088477575 |
| Fax Number | 6088473096 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205830965 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2019-05-23 |
Provider Mailing Address Detail
| Address | Po Box 359 |
|---|---|
| City | Mauston |
| State | Wisconsin (WI) |
| Post Code | 5394803590 |
| Phone Number | 6088477575 |
| Fax Number | 6088473096 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7163 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11988111 | CAQH | ||
| 40983800 | WI | -- | |
| 1013375104 | WI | AGENCY NPI NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Roberta A Bronecki by the Centers for Medicare & Medicaid Services?
The Roberta A Bronecki has been assigned the NPI (National Provider Identifier) 1205830965. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roberta A Bronecki located?
The Roberta A Bronecki is located at Po Box 359, Mauston, WI 5394803590.
What is Roberta A Bronecki's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roberta A Bronecki is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Roberta A Bronecki receive its 1205830965?
The Roberta A Bronecki was issued its 1205830965 on 2005-06-10, which is the date when the organization was assigned this unique identifier.
When was the information regarding Roberta A Bronecki, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roberta A Bronecki, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-23.