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NPI Code Detail

MEDICARE: MRS. JENNIFER RUTH ZEHR MSW, LCSW

MEDICARE: MRS. JENNIFER RUTH ZEHR MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7550-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
241-1576550OTHERPRACTICE FED TAX ID#

General Provider Information

NPI Number : 1437250123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER RUTH ZEHR MSW, LCSW
Provider Business Mailing Address
First Line : 1716 FORDEM AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-4604
Country : US
Telephone Number : 608-577-9995
Fax Number :
Provider Business Practice Location Address
First Line : 1716 FORDEM AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-4604
Country : US
Telephone Number : 608-577-9995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/30/2011

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