Beth Young-Verkuilen in Appleton - Clinical
Beth Young-Verkuilen - NPI 1558584300
Beth Young-Verkuilen is a Clinical in Appleton, Wisconsin. Beth Young-Verkuilen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beth Young-Verkuilen is 1558584300. The last update date is 2022-11-16.
Beth Young-Verkuilen's current location address is 412 E Longview Dr Ste C, Appleton, Wisconsin. You can contact this provider via phone number 9208829877 and fax number 9208829880. The mailing address for Beth Young-Verkuilen is 412 E Longview Dr Ste C, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Young-Verkuilen |
|---|---|
| Address | 412 E Longview Dr Ste C, Appleton, Wisconsin |
| Phone Number | 9208829877 |
| Fax Number | 9208829880 |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1558584300 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2022-11-16 |
Provider Mailing Address Detail
| Address | 412 E Longview Dr Ste C |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549112168 |
| Phone Number | 9208829877 |
| Fax Number | 9208829880 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3904 |
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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 |
|---|---|---|---|
| 39-1917728 | WI | TAXPAYOR ID |
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What is the Beth Young-Verkuilen's unique identification number?
The Beth Young-Verkuilen has been assigned the NPI (National Provider Identifier) Number 1558584300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Beth Young-Verkuilen located?
The Beth Young-Verkuilen is located at 412 E Longview Dr Ste C, Appleton, WI 549112168.
What is Beth Young-Verkuilen'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 Beth Young-Verkuilen is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Beth Young-Verkuilen receive its 1558584300?
The Beth Young-Verkuilen was issued its 1558584300 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Beth Young-Verkuilen's details last updated?
The information pertaining to the Beth Young-Verkuilen, including its address, specialty, and other details, was most recently updated on 2022-11-16.