Joan Columbia Tillich in Honolulu - Clinical

Joan Columbia Tillich - NPI 1245249267

Joan Columbia Tillich is a Clinical in Honolulu, Hawaii. Joan Columbia Tillich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Columbia Tillich is 1245249267. The last update date is 2007-07-08.

Joan Columbia Tillich's current location address is 1130 N Nimitz Hwy, Honolulu, Hawaii. You can contact this provider via phone number 8085379998 and fax number 8087385821. The mailing address for Joan Columbia Tillich is 1130 N Nimitz Hwy, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Joan Columbia Tillich
Address 1130 N Nimitz Hwy, Honolulu, Hawaii
Phone Number 8085379998
Fax Number 8087385821
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1245249267
Provider Enumeration Date 2006-08-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1130 N Nimitz Hwy
City Honolulu
State Hawaii (HI)
Post Code 968174579
Phone Number 8085379998
Fax Number 8087385821

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCSW3113
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52502 HI --
R60088 HMSC BCBS

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FAQs about Joan Columbia Tillich

What is the unique identification code assigned to Joan Columbia Tillich by the Centers for Medicare & Medicaid Services?

The Joan Columbia Tillich has been issued the NPI (National Provider Identifier) 1245249267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Joan Columbia Tillich is physically located?

The Joan Columbia Tillich is situated at the following address: 1130 N Nimitz Hwy, Honolulu, HI 968174579.

What is Joan Columbia Tillich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joan Columbia Tillich's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When was the Joan Columbia Tillich's 1245249267 issued?

The Joan Columbia Tillich's 1245249267 was issued on 2006-08-07.

As of what date were the details pertaining to Joan Columbia Tillich last refreshed?

The information related to the Joan Columbia Tillich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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