Mary Jane Whitmore is a Clinical in Racine, Wisconsin. Mary Jane Whitmore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jane Whitmore is 1134175334. The last update date is 2007-07-12.
Mary Jane Whitmore's current location address is 840 Lake Ave, Racine, Wisconsin. You can contact this provider via phone number 2626348688 and fax number 2626347547. The mailing address for Mary Jane Whitmore is 840 Lake Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Whitmore |
|---|---|
| Address | 840 Lake Ave, Racine, Wisconsin |
| Phone Number | 2626348688 |
| Fax Number | 2626347547 |
| Sole Proprietor | N |
| Credentials | LCSW, CADC |
NPI Number Detail
| NPI Number | 1134175334 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 840 Lake Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534031566 |
| Phone Number | 2626348688 |
| Fax Number | 2626347547 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7186-123 |
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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 |
|---|---|---|---|
| 39341100 | WI | -- |
Post Comment/ Review Below
What is the Mary Jane Whitmore's unique identification number?
The Mary Jane Whitmore has been assigned the NPI (National Provider Identifier) Number 1134175334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary Jane Whitmore is geographically located?
The Mary Jane Whitmore is physically situated at the following location: 840 Lake Ave, Racine, WI, 534031566.
What is Mary Jane Whitmore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Jane Whitmore is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Mary Jane Whitmore receive the assignment of its 1134175334 from the Centers for Medicare & Medicaid Services?
The Mary Jane Whitmore was issued its 1134175334 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the Mary Jane Whitmore's information last updated?
The Mary Jane Whitmore's information was last updated on 2007-07-12.