Jeff D Wiese Lcsw Pllc

LBN: Jeff D Wiese Lcsw Pllc
Jeff D Wiese Lcsw Pllc is an health care organization with primary practice located at 5425 N Oracle Rd Ste 115 , Tucson AZ 85704-3890. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jeff D Wiese Lcsw Pllc can be contacted via phone (520) 742-9166, or through Wiese, Jeff D via phone (520) 742-9166.

Contact Information

Primary practice address
5425 N Oracle Rd Ste 115 Tucson AZ 85704-3890
Phone: (520) 742-9166
Fax: (520) 742-9146
Website:
Map and Directions
Authorized official contact:
Name: Wiese, Jeff D Licensed Clinical Social Worker (LCSW)
Phone: (520) 742-9166

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW0712 Arizona

Profile Details

NPI number 1588736128
LBN Legal business name Jeff D Wiese Lcsw Pllc
DBA Doing business as
Authorized official Wiese, Jeff D Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588736128 NPPES
Arizona Other LCSW0712 LICENSE

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