Dabney Parker Stack in Herrin - Clinical
Dabney Parker Stack - NPI 1518903004
Dabney Parker Stack is a Clinical in Herrin, Illinois. Dabney Parker Stack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dabney Parker Stack is 1518903004. The last update date is 2023-08-22.
Dabney Parker Stack's current location address is 201 S 14th St, Herrin, Illinois. You can contact this provider via phone number 6189422171 and fax number 6183514917. The mailing address for Dabney Parker Stack is 201 S 14th St, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dabney Parker Stack |
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Address | 201 S 14th St, Herrin, Illinois |
Phone Number | 6189422171 |
Fax Number | 6183514917 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1518903004 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
Address | 201 S 14th St |
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City | Herrin |
State | Illinois (IL) |
Post Code | 629483631 |
Phone Number | 6189422171 |
Fax Number | 6183514917 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 149018994 |
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 identifier code issued to Dabney Parker Stack by the Centers for Medicare & Medicaid Services (CMS)?
The Dabney Parker Stack has been assigned the NPI (National Provider Identifier) 1518903004. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Dabney Parker Stack is physically located?
The Dabney Parker Stack is physically situated at the following address: 201 S 14Th St, Herrin, IL, 629483631.
What is Dabney Parker Stack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dabney Parker Stack is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518903004 to Dabney Parker Stack?
The Dabney Parker Stack received its 1518903004 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date was the information pertaining to Dabney Parker Stack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dabney Parker Stack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-22.
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