Julie Ann Logan in Cherry Valley - Clinical

Julie Ann Logan - NPI 1700058005

Julie Ann Logan is a Clinical in Cherry Valley, Illinois. Julie Ann Logan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Ann Logan is 1700058005. The last update date is 2022-07-20.

Julie Ann Logan's current location address is 1740 S Bell School Rd Ste B, Cherry Valley, Illinois. You can contact this provider via phone number 8153162621 and fax number 8004939260. The mailing address for Julie Ann Logan is 1740 S Bell School Rd Ste B, Cherry Valley, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie Ann Logan
Address 1740 S Bell School Rd Ste B, Cherry Valley, Illinois
Phone Number 8153162621
Fax Number 8004939260
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1700058005
Provider Enumeration Date 2008-03-26
Last Updated Date 2022-07-20

Provider Mailing Address Detail

Address 1740 S Bell School Rd Ste B
City Cherry Valley
State Illinois (IL)
Post Code 610169388
Phone Number 8153162621
Fax Number 8004939260

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149011421
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 Julie Ann Logan

What is the Julie Ann Logan's 1700058005?

The Julie Ann Logan's NPI (National Provider Identifier) Number is 1700058005. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Julie Ann Logan?

The Julie Ann Logan is situated at 1740 S Bell School Rd Ste B, in the city of Cherry Valley, state of IL, with the zip code 610169388.

What is Julie Ann Logan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Julie Ann Logan is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Julie Ann Logan receive its 1700058005 assignment from the Centers for Medicare & Medicaid Services?

The Julie Ann Logan was assigned its 1700058005 by the Centers for Medicare & Medicaid Services on 2008-03-26.

As of what date was the information pertaining to Julie Ann Logan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Julie Ann Logan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-20.

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