Jody L Pickruhn is a Clinical in Summit, Wisconsin. Jody L Pickruhn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody L Pickruhn is 1194750208. The last update date is 2022-01-10.
Jody L Pickruhn's current location address is 36500 Aurora Dr, Summit, Wisconsin. You can contact this provider via phone number 4147734312. The mailing address for Jody L Pickruhn is 36500 Aurora Dr, Summit, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody L Pickruhn |
|---|---|
| Address | 36500 Aurora Dr, Summit, Wisconsin |
| Phone Number | 4147734312 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1194750208 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
| Address | 36500 Aurora Dr |
|---|---|
| City | Summit |
| State | Wisconsin (WI) |
| Post Code | 530664899 |
| Phone Number | 4147734312 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7555-123 |
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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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What is the unique identification code assigned to Jody L Pickruhn by the Centers for Medicare & Medicaid Services?
The Jody L Pickruhn has been issued the NPI (National Provider Identifier) 1194750208. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jody L Pickruhn's facilities are situated?
The facilities of Jody L Pickruhn are physically located at the following address: 36500 Aurora Dr, Summit, WI, 530664899.
What is the Jody L Pickruhn's specialty and taxonomy code?
The Jody L Pickruhn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194750208 to Jody L Pickruhn?
The Centers for Medicare & Medicaid Services originally issued the 1194750208 to Jody L Pickruhn on 2006-07-11.
When was the Jody L Pickruhn's information last updated?
The Jody L Pickruhn's information was last updated on 2022-01-10.
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