Karen A Mahan is a Clinical in Mukwonago, Wisconsin. Karen A Mahan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karen A Mahan is 1053461079. The last update date is 2012-10-12.
Karen A Mahan's current location address is W304s5186 State Road 83, Mukwonago, Wisconsin. You can contact this provider via phone number 2624905465 and fax number 2627207743. The mailing address for Karen A Mahan is W304s5186 State Road 83, Mukwonago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen A Mahan |
|---|---|
| Address | W304s5186 State Road 83, Mukwonago, Wisconsin |
| Phone Number | 2624905465 |
| Fax Number | 2627207743 |
| Sole Proprietor | N |
| Credentials | LCSW MSW 4 |
NPI Number Detail
| NPI Number | 1053461079 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2012-10-12 |
Provider Mailing Address Detail
| Address | W304s5186 State Road 83 |
|---|---|
| City | Mukwonago |
| State | Wisconsin (WI) |
| Post Code | 531498725 |
| Phone Number | 2624905465 |
| Fax Number | 2627207743 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4346123 |
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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 |
|---|---|---|---|
| 4346123 | WI | LCSW | |
| 43585500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Karen A Mahan by the Centers for Medicare & Medicaid Services?
The Karen A Mahan has been issued the NPI (National Provider Identifier) 1053461079 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Karen A Mahan is geographically located?
The Karen A Mahan is physically situated at the following location: W304S5186 State Road 83, Mukwonago, WI, 531498725.
What is the Karen A Mahan's area of specialization and corresponding taxonomy classification?
The Karen A Mahan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Karen A Mahan receive its 1053461079 assignment?
The Karen A Mahan was assigned its 1053461079 on 2007-01-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Karen A Mahan most recently updated or revised?
The information pertaining to Karen A Mahan, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-12.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI