Gilbert, Judith Ann

Gilbert, Judith Ann is an individual health care provider with primary practice located at 4633 Washington Rd , Kenosha WI 53144-4220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gilbert, Judith Ann can be contacted via phone (262) 652-7222.

Contact Information

Primary practice address
4633 Washington Rd Kenosha WI 53144-4220
Phone: (262) 652-7222
Fax: (262) 652-1734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 781 -123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1740226042
LBN Legal business name Gilbert, Judith Ann
Credentials ACSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740226042 NPPES
Wisconsin Other 935558 PHCS
Wisconsin Other 306112775 PHCS
Wisconsin MEDICAID 1740226042 PHCS

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