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NPI Code Detail

MEDICARE: PHILIP A WUERTZ LCSW

MEDICARE: PHILIP A WUERTZ 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
1104100000XSocial Worker34002562AIN
21041C0700XClinical Social Worker34002562AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609934769
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP A WUERTZ LCSW
Provider Business Mailing Address
First Line : PO BOX 3407
Second Line :
City : EVANSVILLE
State : IN
Zip : 47733-3407
Country : US
Telephone Number : 812-146-5125
Fax Number : 812-465-7170
Provider Business Practice Location Address
First Line : 8600 UNIVERSITY BLVD
Second Line : RM HP0091
City : EVANSVILLE
State : IN
Zip : 47712-3534
Country : US
Telephone Number : 812-465-1250
Fax Number : 812-465-7170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 01/09/2013

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Directions to “ PHILIP A WUERTZ LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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