John Mewaldt is a Clinical in Racine, Wisconsin. John Mewaldt practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Mewaldt is 1821110875. The last update date is 2023-10-28.
John Mewaldt's current location address is 1320 Wisconsin Ave, Racine, Wisconsin. You can contact this provider via phone number 2626872380. The mailing address for John Mewaldt is 1320 Wisconsin Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mewaldt |
|---|---|
| Address | 1320 Wisconsin Ave, Racine, Wisconsin |
| Phone Number | 2626872380 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821110875 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2023-10-28 |
Provider Mailing Address Detail
| Address | 1320 Wisconsin Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534031978 |
| Phone Number | 2626872380 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3806 |
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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 |
|---|---|---|---|
| 11013500 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John Mewaldt by the Centers for Medicare & Medicaid Services?
The John Mewaldt has been issued the NPI (National Provider Identifier) 1821110875. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Mewaldt?
The John Mewaldt is situated at 1320 Wisconsin Ave, in the city of Racine, state of WI, with the zip code 534031978.
What is John Mewaldt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Mewaldt is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821110875 to John Mewaldt?
The Centers for Medicare & Medicaid Services assigned the 1821110875 to John Mewaldt on 2007-04-03.
As of what date was the information pertaining to John Mewaldt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Mewaldt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-28.