Donna L Blache is a Clinical in Carterville, Illinois. Donna L Blache practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna L Blache is 1992713416. The last update date is 2011-04-04.
Donna L Blache's current location address is P O Box 577, Carterville, Illinois. You can contact this provider via phone number 6189858221. The mailing address for Donna L Blache is P O Box 577, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna L Blache |
|---|---|
| Address | P O Box 577, Carterville, Illinois |
| Phone Number | 6189858221 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992713416 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2011-04-04 |
Provider Mailing Address Detail
| Address | P O Box 577 |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629180577 |
| Phone Number | 6189858221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010444 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370966854002 | IL | -- | |
| 370966854005 | IL | -- | |
| 640701 | IL | PTAN MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Donna L Blache?
The Donna L Blache has been issued the NPI (National Provider Identifier) 1992713416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Donna L Blache's physical address?
The Donna L Blache is physically located at P O Box 577, in the city of Carterville, IL, with the postal code 629180577.
What is Donna L Blache's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Donna L Blache is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Donna L Blache receive its 1992713416 assignment from the Centers for Medicare & Medicaid Services?
The Donna L Blache was assigned its 1992713416 on 2006-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Donna L Blache's details last updated?
The information pertaining to the Donna L Blache, including its address, specialty, and other details, was most recently updated on 2011-04-04.