Stephanie Gudmunsen in West Bend - Clinical
Stephanie Gudmunsen - NPI 1407941446
Stephanie Gudmunsen is a Clinical in West Bend, Wisconsin. Stephanie Gudmunsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephanie Gudmunsen is 1407941446. The last update date is 2009-05-21.
Stephanie Gudmunsen's current location address is 333 E Washington St, West Bend, Wisconsin. You can contact this provider via phone number 2623354545 and fax number 2623356827. The mailing address for Stephanie Gudmunsen is 333 E Washington St, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Gudmunsen |
|---|---|
| Address | 333 E Washington St, West Bend, Wisconsin |
| Phone Number | 2623354545 |
| Fax Number | 2623356827 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1407941446 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2009-05-21 |
Provider Mailing Address Detail
| Address | 333 E Washington St |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530952585 |
| Phone Number | 2623354545 |
| Fax Number | 2623356827 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7293-123 |
|
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 |
|---|---|---|---|
| 40994900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephanie Gudmunsen by the Centers for Medicare & Medicaid Services?
The Stephanie Gudmunsen has been assigned the NPI (National Provider Identifier) 1407941446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Stephanie Gudmunsen?
The Stephanie Gudmunsen is situated at 333 E Washington St, in the city of West Bend, state of WI, with the zip code 530952585.
What is Stephanie Gudmunsen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephanie Gudmunsen is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Stephanie Gudmunsen receive the assignment of its 1407941446 from the Centers for Medicare & Medicaid Services?
The Stephanie Gudmunsen was issued its 1407941446 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information pertaining to Stephanie Gudmunsen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephanie Gudmunsen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-21.