The Shekinah Triad Pc in Arlington Heights - Clinical

The Shekinah Triad Pc - NPI 1417026022

The Shekinah Triad Pc is a Clinical in Arlington Heights, Illinois. The Shekinah Triad Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for The Shekinah Triad Pc is 1417026022. The last update date is 2010-10-06.

The Shekinah Triad Pc's current location address is 2016 N Kennicott, Arlington Heights, Illinois. You can contact this provider via phone number 8472201331 and fax number 8473983099. The mailing address for The Shekinah Triad Pc is 2016 N Kennicott, Arlington Heights, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Shekinah Triad Pc
Address 2016 N Kennicott, Arlington Heights, Illinois
Phone Number 8472201331
Fax Number 8473983099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Nadulek Joanne Marilyn
Telephone Number 8472201331

NPI Number Detail

NPI Number 1417026022
Provider Enumeration Date 2006-11-07
Last Updated Date 2010-10-06

Provider Mailing Address Detail

Address 2016 N Kennicott
City Arlington Heights
State Illinois (IL)
Post Code 600042922
Phone Number 8472201331
Fax Number 8473983099

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149008999
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

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FAQs about The Shekinah Triad Pc

What is the unique 10-digit identifier code assigned to The Shekinah Triad Pc by the Centers for Medicare & Medicaid Services?

The The Shekinah Triad Pc has been issued the NPI (National Provider Identifier) 1417026022 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where The Shekinah Triad Pc's facilities are situated?

The facilities of The Shekinah Triad Pc are physically located at the following address: 2016 N Kennicott, Arlington Heights, IL, 600042922.

What is The Shekinah Triad Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for The Shekinah Triad Pc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417026022 to The Shekinah Triad Pc?

The The Shekinah Triad Pc received its 1417026022 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date were the The Shekinah Triad Pc's details last updated?

The information pertaining to the The Shekinah Triad Pc, including its address, specialty, and other details, was most recently updated on 2010-10-06.

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