Elizabeth C Irwin Moore in Wauwatosa - Clinical

Elizabeth C Irwin Moore - NPI 1447368162

Elizabeth C Irwin Moore is a Clinical in Wauwatosa, Wisconsin. Elizabeth C Irwin Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth C Irwin Moore is 1447368162. The last update date is 2007-09-12.

Elizabeth C Irwin Moore's current location address is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144546779. The mailing address for Elizabeth C Irwin Moore is 1220 Dewey Ave, Wauwatosa, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth C Irwin Moore
Address 1220 Dewey Ave, Wauwatosa, Wisconsin
Phone Number 4144546779
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1447368162
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-09-12

Provider Mailing Address Detail

Address 1220 Dewey Ave
City Wauwatosa
State Wisconsin (WI)
Post Code 532132504
Phone Number 4144546779
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6763-123
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40912000 WI --

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FAQs about Elizabeth C Irwin Moore

What is the unique provider identifier assigned to Elizabeth C Irwin Moore?

The Elizabeth C Irwin Moore has been issued the NPI (National Provider Identifier) 1447368162 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Elizabeth C Irwin Moore located?

The Elizabeth C Irwin Moore is located at 1220 Dewey Ave, Wauwatosa, WI 532132504.

What is the Elizabeth C Irwin Moore's specialty and taxonomy code?

The Elizabeth C Irwin Moore's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When was the Elizabeth C Irwin Moore's 1447368162 issued?

The Elizabeth C Irwin Moore's 1447368162 was issued on 2006-08-25.

When was the information regarding Elizabeth C Irwin Moore most recently updated?

The details pertaining to the Elizabeth C Irwin Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-09-12.

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