Linda Carter Pettersen in Monona - Clinical
Linda Carter Pettersen - NPI 1518014372
Linda Carter Pettersen is a Clinical in Monona, Wisconsin. Linda Carter Pettersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Linda Carter Pettersen is 1518014372. The last update date is 2014-05-08.
Linda Carter Pettersen's current location address is 5900 Monona Dr, Monona, Wisconsin. You can contact this provider via phone number 6086630763 and fax number 6086630765. The mailing address for Linda Carter Pettersen is 5900 Monona Dr, Monona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Carter Pettersen |
|---|---|
| Address | 5900 Monona Dr, Monona, Wisconsin |
| Phone Number | 6086630763 |
| Fax Number | 6086630765 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1518014372 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2014-05-08 |
Provider Mailing Address Detail
| Address | 5900 Monona Dr |
|---|---|
| City | Monona |
| State | Wisconsin (WI) |
| Post Code | 537163554 |
| Phone Number | 6086630763 |
| Fax Number | 6086630765 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2547-123 |
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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 |
|---|---|---|---|
| 39533200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Linda Carter Pettersen by the Centers for Medicare & Medicaid Services?
The Linda Carter Pettersen has been issued the NPI (National Provider Identifier) 1518014372 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Linda Carter Pettersen is physically located?
The Linda Carter Pettersen is physically situated at the following address: 5900 Monona Dr, Monona, WI, 537163554.
What is Linda Carter Pettersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Linda Carter Pettersen is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518014372 to Linda Carter Pettersen?
The Linda Carter Pettersen received its 1518014372 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information related to Linda Carter Pettersen most recently updated or refreshed?
The details pertaining to the Linda Carter Pettersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-08.
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