William G Nick is a Clinical in Sturgeon Bay, Wisconsin. William G Nick practices all healthcare services and medical treatments related to Clinical. The NPI Number for William G Nick is 1093781536. The last update date is 2007-07-08.
William G Nick's current location address is 620 N 12th Ave, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207439954. The mailing address for William G Nick is 620 N 12th Ave, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William G Nick |
|---|---|
| Address | 620 N 12th Ave, Sturgeon Bay, Wisconsin |
| Phone Number | 9207439954 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093781536 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 N 12th Ave |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 542351249 |
| Phone Number | 9207439954 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 39205900 |
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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 |
|---|---|---|---|
| 39205900 | WI | -- |
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What is the unique 10-digit identifier code issued to William G Nick by the Centers for Medicare & Medicaid Services?
The William G Nick has been assigned the NPI (National Provider Identifier) 1093781536 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the William G Nick's physical address?
The William G Nick is physically located at 620 N 12Th Ave, in the city of Sturgeon Bay, WI, with the postal code 542351249.
What is the William G Nick's area of specialization and corresponding taxonomy classification?
The William G Nick's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the William G Nick receive the assignment of its 1093781536 from the Centers for Medicare & Medicaid Services?
The William G Nick was issued its 1093781536 by the Centers for Medicare & Medicaid Services on 2006-02-24.
As of what date were the William G Nick's details last updated?
The information pertaining to the William G Nick, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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