Weidner, Jennifer Leigh

Weidner, Jennifer Leigh is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weidner, Jennifer Leigh can be contacted via phone (608) 361-0311.

Contact Information

Primary practice address
74 Eclipse Ctr Beloit WI 53511-3550
Phone: (608) 361-0311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6135-123 Wisconsin

Profile Details

NPI number 1750438651
LBN Legal business name Weidner, Jennifer Leigh
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 5th, 2018 - about 7 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 1750438651 NPPES
Wisconsin Other 6135-123 LCSW
Wisconsin MEDICAID 43574600 LCSW

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