Ted M Pagoaga is a Clinical in Wittenberg, Wisconsin. Ted M Pagoaga practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ted M Pagoaga is 1780745430. The last update date is 2007-07-08.
Ted M Pagoaga's current location address is W18105 Hemlock Rd, Wittenberg, Wisconsin. You can contact this provider via phone number 7152532116 and fax number 7152533586. The mailing address for Ted M Pagoaga is W18105 Hemlock Rd, Wittenberg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted M Pagoaga |
|---|---|
| Address | W18105 Hemlock Rd, Wittenberg, Wisconsin |
| Phone Number | 7152532116 |
| Fax Number | 7152533586 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1780745430 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | W18105 Hemlock Rd |
|---|---|
| City | Wittenberg |
| State | Wisconsin (WI) |
| Post Code | 544998647 |
| Phone Number | 7152532116 |
| Fax Number | 7152533586 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6524 |
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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 |
|---|---|---|---|
| 4092550 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ted M Pagoaga by the Centers for Medicare & Medicaid Services?
The Ted M Pagoaga has been issued the NPI (National Provider Identifier) 1780745430. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ted M Pagoaga is located?
The Ted M Pagoaga is situated at the following address: W18105 Hemlock Rd, Wittenberg, WI, 544998647.
What is Ted M Pagoaga's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ted M Pagoaga is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780745430 to Ted M Pagoaga?
The Ted M Pagoaga received its 1780745430 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information regarding Ted M Pagoaga most recently updated?
The details pertaining to the Ted M Pagoaga, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.