West, Jeffery L

West, Jeffery L is an individual health care provider with primary practice located at 760 Pilgrim Way , Green Bay WI 54304-5263. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. West, Jeffery L can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
760 Pilgrim Way Green Bay WI 54304-5263
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 440 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145 Wisconsin

Profile Details

NPI number 1750305488
LBN Legal business name West, Jeffery L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 24th, 2012 - about 14 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 1750305488 NPPES
Wisconsin MEDICAID 39575700

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