Susan I Quiriconi is a Clinical in Portage, Wisconsin. Susan I Quiriconi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan I Quiriconi is 1013946987. The last update date is 2007-07-08.
Susan I Quiriconi's current location address is Po Box 301, Portage, Wisconsin. You can contact this provider via phone number 6087425518 and fax number 6087424087. The mailing address for Susan I Quiriconi is Po Box 301, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan I Quiriconi |
|---|---|
| Address | Po Box 301, Portage, Wisconsin |
| Phone Number | 6087425518 |
| Fax Number | 6087424087 |
| Sole Proprietor | N |
| Credentials | MSW CIC |
NPI Number Detail
| NPI Number | 1013946987 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 301 |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539010301 |
| Phone Number | 6087425518 |
| Fax Number | 6087424087 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 568-122 |
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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 |
|---|---|---|---|
| 39581500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan I Quiriconi by the Centers for Medicare & Medicaid Services (CMS)?
The Susan I Quiriconi has been assigned the NPI (National Provider Identifier) 1013946987. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Susan I Quiriconi is located?
The Susan I Quiriconi is situated at the following address: Po Box 301, Portage, WI, 539010301.
What is Susan I Quiriconi's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan I Quiriconi is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Susan I Quiriconi's 1013946987 issued?
The Susan I Quiriconi's 1013946987 was issued on 2006-07-02.
When was the information regarding Susan I Quiriconi most recently updated?
The details pertaining to the Susan I Quiriconi, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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