Gwen L Groenewold is a Clinical in Milwaukee, Wisconsin. Gwen L Groenewold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen L Groenewold is 1235244278. The last update date is 2007-07-08.
Gwen L Groenewold's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Gwen L Groenewold is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen L Groenewold |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235244278 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7042-123 |
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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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What is the unique 10-digit identifier code assigned to Gwen L Groenewold by the Centers for Medicare & Medicaid Services?
The Gwen L Groenewold has been issued the NPI (National Provider Identifier) 1235244278 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gwen L Groenewold?
The Gwen L Groenewold is situated at 3301 W Forest Home Ave, in the city of Milwaukee, state of WI, with the zip code 532152843.
What is Gwen L Groenewold'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 Gwen L Groenewold is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235244278 to Gwen L Groenewold?
The Centers for Medicare & Medicaid Services assigned the 1235244278 to Gwen L Groenewold on 2006-08-20.
When was the Gwen L Groenewold's information last updated?
The Gwen L Groenewold's information was last updated on 2007-07-08.