Mapes, Terrance S

Mapes, Terrance S is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mapes, Terrance S can be contacted via phone (920) 272-1200.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115
Fax: (920) 272-1201
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2880-123 Wisconsin

Profile Details

NPI number 1962414110
LBN Legal business name Mapes, Terrance S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 16th, 2020 - about 6 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 1962414110 NPPES
Wisconsin MEDICAID 39675600

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