Ciel Ishatova is a Clinical in Monona, Wisconsin. Ciel Ishatova practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ciel Ishatova is 1639110398. The last update date is 2007-07-15.
Ciel Ishatova's current location address is 4704 Winnequah Rd, Monona, Wisconsin. You can contact this provider via phone number 6082559330 and fax number 6082557810. The mailing address for Ciel Ishatova is 4704 Winnequah Rd, Monona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ciel Ishatova |
|---|---|
| Address | 4704 Winnequah Rd, Monona, Wisconsin |
| Phone Number | 6082559330 |
| Fax Number | 6082557810 |
| Sole Proprietor | Y |
| Credentials | LCSW, LMFT |
NPI Number Detail
| NPI Number | 1639110398 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-15 |
Provider Mailing Address Detail
| Address | 4704 Winnequah Rd |
|---|---|
| City | Monona |
| State | Wisconsin (WI) |
| Post Code | 537162030 |
| Phone Number | 6082559330 |
| Fax Number | 6082557810 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2248-123 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39255100 | WI | -- |
Post Comment/ Review Below
What is the Ciel Ishatova's 1639110398?
The Ciel Ishatova's NPI (National Provider Identifier) Number is 1639110398. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ciel Ishatova's facilities are geographically located?
The facilities of Ciel Ishatova are physically situated at the following location: 4704 Winnequah Rd, Monona, WI, 537162030.
What is Ciel Ishatova's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ciel Ishatova's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Ciel Ishatova receive its 1639110398?
The Ciel Ishatova was issued its 1639110398 on 2006-06-10, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Ciel Ishatova, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ciel Ishatova, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-15.
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