Donald A Walters in Racine - Clinical

Donald A Walters - NPI 1417944216

Donald A Walters is a Clinical in Racine, Wisconsin. Donald A Walters practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donald A Walters is 1417944216. The last update date is 2007-07-08.

Donald A Walters's current location address is 1244 Wisconsin Ave, Racine, Wisconsin. You can contact this provider via phone number 2626355520 and fax number 2626355530. The mailing address for Donald A Walters is 1244 Wisconsin Ave, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald A Walters
Address 1244 Wisconsin Ave, Racine, Wisconsin
Phone Number 2626355520
Fax Number 2626355530
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1417944216
Provider Enumeration Date 2005-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1244 Wisconsin Ave
City Racine
State Wisconsin (WI)
Post Code 534031987
Phone Number 2626355520
Fax Number 2626355530

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 423-123
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39548600 WI --

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FAQs about Donald A Walters

What is the unique 10-digit identifier code issued to Donald A Walters by the Centers for Medicare & Medicaid Services?

The Donald A Walters has been assigned the NPI (National Provider Identifier) 1417944216 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Donald A Walters's facilities are geographically located?

The facilities of Donald A Walters are physically situated at the following location: 1244 Wisconsin Ave, Racine, WI, 534031987.

What is Donald A Walters's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Donald A Walters's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417944216 to Donald A Walters?

The Centers for Medicare & Medicaid Services assigned the 1417944216 to Donald A Walters on 2005-10-05.

When was the Donald A Walters's information last updated?

The Donald A Walters's information was last updated on 2007-07-08.

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