Antoinette M Dezzutti in Berwyn - Clinical
Antoinette M Dezzutti - NPI 1134314164
Antoinette M Dezzutti is a Clinical in Berwyn, Illinois. Antoinette M Dezzutti practices all healthcare services and medical treatments related to Clinical. The NPI Number for Antoinette M Dezzutti is 1134314164. The last update date is 2012-03-21.
Antoinette M Dezzutti's current location address is 6918 Windsor Ave, Berwyn, Illinois. You can contact this provider via phone number 7087455277. The mailing address for Antoinette M Dezzutti is 6918 Windsor Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antoinette M Dezzutti |
|---|---|
| Address | 6918 Windsor Ave, Berwyn, Illinois |
| Phone Number | 7087455277 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW, LCSW |
NPI Number Detail
| NPI Number | 1134314164 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | 6918 Windsor Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604023334 |
| Phone Number | 7087455277 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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What is the unique 10-digit identification code issued to Antoinette M Dezzutti by the Centers for Medicare & Medicaid Services?
The Antoinette M Dezzutti has been assigned the NPI (National Provider Identifier) 1134314164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Antoinette M Dezzutti's facilities are situated?
The facilities of Antoinette M Dezzutti are physically located at the following address: 6918 Windsor Ave, Berwyn, IL, 604023334.
What is the Antoinette M Dezzutti's area of specialization and corresponding taxonomy classification?
The Antoinette M Dezzutti's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134314164 to Antoinette M Dezzutti?
The Centers for Medicare & Medicaid Services originally issued the 1134314164 to Antoinette M Dezzutti on 2007-09-12.
As of what date were the details pertaining to Antoinette M Dezzutti last refreshed?
The information related to the Antoinette M Dezzutti, including its address, specialty, and other relevant details, was last updated on 2012-03-21.
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