Nicholas Mackenzie Bridgett in Champaign - Clinical
Nicholas Mackenzie Bridgett - NPI 1306858592
Nicholas Mackenzie Bridgett is a Clinical in Champaign, Illinois. Nicholas Mackenzie Bridgett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicholas Mackenzie Bridgett is 1306858592. The last update date is 2007-07-08.
Nicholas Mackenzie Bridgett's current location address is 1801 Fox Dr, Champaign, Illinois. You can contact this provider via phone number 2174176432. The mailing address for Nicholas Mackenzie Bridgett is 1801 Fox Dr, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Mackenzie Bridgett |
|---|---|
| Address | 1801 Fox Dr, Champaign, Illinois |
| Phone Number | 2174176432 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306858592 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1801 Fox Dr |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618207236 |
| Phone Number | 2174176432 |
| 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 identifier code issued to Nicholas Mackenzie Bridgett by the Centers for Medicare & Medicaid Services?
The Nicholas Mackenzie Bridgett has been assigned the NPI (National Provider Identifier) 1306858592 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Nicholas Mackenzie Bridgett is geographically located?
The Nicholas Mackenzie Bridgett is physically situated at the following location: 1801 Fox Dr, Champaign, IL, 618207236.
What is the Nicholas Mackenzie Bridgett's specialty and taxonomy code?
The Nicholas Mackenzie Bridgett's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306858592 to Nicholas Mackenzie Bridgett?
The Nicholas Mackenzie Bridgett received its 1306858592 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
When was the information related to Nicholas Mackenzie Bridgett most recently updated or refreshed?
The details pertaining to the Nicholas Mackenzie Bridgett, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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