Kathleen Fenno Mcnulty in Racine - Clinical

Kathleen Fenno Mcnulty - NPI 1023027414

Kathleen Fenno Mcnulty is a Clinical in Racine, Wisconsin. Kathleen Fenno Mcnulty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Fenno Mcnulty is 1023027414. The last update date is 2007-07-08.

Kathleen Fenno Mcnulty's current location address is 1220 Mound Ave, Racine, Wisconsin. You can contact this provider via phone number 2626333591 and fax number 2626332619. The mailing address for Kathleen Fenno Mcnulty is 1220 Mound Ave, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Fenno Mcnulty
Address 1220 Mound Ave, Racine, Wisconsin
Phone Number 2626333591
Fax Number 2626332619
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1023027414
Provider Enumeration Date 2006-08-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1220 Mound Ave
City Racine
State Wisconsin (WI)
Post Code 534043350
Phone Number 2626333591
Fax Number 2626332619

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 7210-123
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
40984300 WI --

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FAQs about Kathleen Fenno Mcnulty

What is the unique 10-digit identifier code issued to Kathleen Fenno Mcnulty by the Centers for Medicare & Medicaid Services?

The Kathleen Fenno Mcnulty has been assigned the NPI (National Provider Identifier) 1023027414 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Kathleen Fenno Mcnulty located?

The Kathleen Fenno Mcnulty is located at 1220 Mound Ave, Racine, WI 534043350.

What is Kathleen Fenno Mcnulty's area of expertise and its corresponding taxonomy classification?

The Kathleen Fenno Mcnulty's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did Kathleen Fenno Mcnulty receive its 1023027414 assignment from the Centers for Medicare & Medicaid Services?

The Kathleen Fenno Mcnulty was assigned its 1023027414 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kathleen Fenno Mcnulty most recently updated?

The details pertaining to the Kathleen Fenno Mcnulty, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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