Nathan Putnam
Clinical Social Worker
612 N Randall Ave
Janesville
, Wisconsin 53545-1958
Nathan Putnam
Clinical Social Worker
612 N Randall Ave
Janesville
, Wisconsin 53545-1958
(608) 752-9788
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Nathan Putnam
- 612 N Randall Ave
- Janesville, WI
- Zip : 53545-1958
- Fax : (608) 752-9788
- Phone : (608) 752-7660
Second Address
- Nathan Putnam
- 612 N Randall Ave
- Janesville, WI
- Zip : 53545-1958
- Fax : (608) 752-9788
- Phone : (608) 752-7660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 9024-123 | WI |
National Provider Identifier
| NPI | 1003265133 |
|---|---|
| Provider Name | Nathan Putnam |
| First Address | Janesville, WI 53545-1958 |
| Second Address | Janesville, WI 53545-1958 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2016 |
| Last Update Date | 03/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.