Madelynn R Wiethop
Social Worker
4411 Washington Ave Ste 300
Evansville
, Indiana 47714-0900
Madelynn R Wiethop
Social Worker
4411 Washington Ave Ste 300
Evansville
, Indiana 47714-0900
(812) 479-1916
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Madelynn R Wiethop
- 4411 Washington Ave Ste 300
- Evansville, IN
- Zip : 47714-0900
- Phone : (812) 479-1916
Second Address
- Madelynn R Wiethop
- 4411 Washington Ave Ste 300
- Evansville, IN
- Zip : 47714-0900
- Phone : (812) 479-1916
Reviews
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Is Madelynn R Wiethop a sole practitioner?
Is Madelynn R Wiethop accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 99094768A | IN |
National Provider Identifier
| NPI | 1003463027 |
|---|---|
| Provider Name | Madelynn R Wiethop |
| First Address | Evansville, IN 47714-0900 |
| Second Address | Evansville, IN 47714-0900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2019 |
| Last Update Date | 23/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200238820 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.