Catherine Mizicko is a Clinical in Chicago, Illinois. Catherine Mizicko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine Mizicko is 1508089368. The last update date is 2007-07-08.
Catherine Mizicko's current location address is 4614 N Lawler Ave, Chicago, Illinois. You can contact this provider via phone number 7732864831. The mailing address for Catherine Mizicko is 4614 N Lawler Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine Mizicko |
|---|---|
| Address | 4614 N Lawler Ave, Chicago, Illinois |
| Phone Number | 7732864831 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508089368 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4614 N Lawler Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606303811 |
| Phone Number | 7732864831 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Catherine Mizicko by the Centers for Medicare & Medicaid Services?
The Catherine Mizicko has been assigned the NPI (National Provider Identifier) 1508089368. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Catherine Mizicko located?
The Catherine Mizicko is located at 4614 N Lawler Ave, Chicago, IL 606303811.
What is the Catherine Mizicko's specialty and taxonomy code?
The Catherine Mizicko's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1508089368 assigned to Catherine Mizicko?
The Catherine Mizicko was issued its 1508089368 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Catherine Mizicko most recently updated or revised?
The details related to Catherine Mizicko, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA