Keith Wolf is a Clinical in Wausau, Wisconsin. Keith Wolf practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Wolf is 1881781680. The last update date is 2007-07-08.
Keith Wolf's current location address is 1100 Lake View Drive, Wausau, Wisconsin. You can contact this provider via phone number 7158484600 and fax number 7158455398. The mailing address for Keith Wolf is 1100 Lake View Drive, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Wolf |
|---|---|
| Address | 1100 Lake View Drive, Wausau, Wisconsin |
| Phone Number | 7158484600 |
| Fax Number | 7158455398 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881781680 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 Lake View Drive |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 54403 |
| Phone Number | 7158484600 |
| Fax Number | 7158455398 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 455-123 |
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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 |
|---|---|---|---|
| 39629300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith Wolf by the Centers for Medicare & Medicaid Services (CMS)?
The Keith Wolf has been assigned the NPI (National Provider Identifier) 1881781680. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Keith Wolf's physical address?
The Keith Wolf is physically located at 1100 Lake View Drive, in the city of Wausau, WI, with the postal code 54403.
What is Keith Wolf's area of expertise and its corresponding taxonomy classification?
The Keith Wolf'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 the Keith Wolf receive its 1881781680 assignment from the Centers for Medicare & Medicaid Services?
The Keith Wolf was assigned its 1881781680 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information regarding Keith Wolf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith Wolf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY