Center For Grief Recovery And Sibling Loss in Chicago - Clinical
Center For Grief Recovery And Sibling Loss - NPI 1316046386
Center For Grief Recovery And Sibling Loss is a Clinical in Chicago, Illinois. Center For Grief Recovery And Sibling Loss practices all healthcare services and medical treatments related to Clinical. The NPI Number for Center For Grief Recovery And Sibling Loss is 1316046386. The last update date is 2009-10-06.
Center For Grief Recovery And Sibling Loss's current location address is 1263 W Loyola Ave, Chicago, Illinois. You can contact this provider via phone number 7732744600. The mailing address for Center For Grief Recovery And Sibling Loss is 1263 W Loyola Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Center For Grief Recovery And Sibling Loss |
---|---|
Address | 1263 W Loyola Ave, Chicago, Illinois |
Phone Number | 7732744600 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Fireman Michael David |
Credentials | LCSW |
Telephone Number | 7732744600 |
NPI Number Detail
NPI Number | 1316046386 |
---|---|
Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2009-10-06 |
Provider Mailing Address Detail
Address | 1263 W Loyola Ave |
---|---|
City | Chicago |
State | Illinois (IL) |
Post Code | 606265101 |
Phone Number | 7732744600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | 149-006624 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1619932 | IL | GROUP NUMBER FOR BC/BS-PP |
Post Comment/ Review Below
What is the unique identifier code issued to Center For Grief Recovery And Sibling Loss by the Centers for Medicare & Medicaid Services?
The Center For Grief Recovery And Sibling Loss has been assigned the NPI (National Provider Identifier) 1316046386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Center For Grief Recovery And Sibling Loss is physically located?
The Center For Grief Recovery And Sibling Loss is situated at the following address: 1263 W Loyola Ave, Chicago, IL 606265101.
What is Center For Grief Recovery And Sibling Loss's specialized field of practice, and what is the corresponding taxonomy classification code?
The Center For Grief Recovery And Sibling Loss's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316046386 to Center For Grief Recovery And Sibling Loss?
The Center For Grief Recovery And Sibling Loss received its 1316046386 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the details pertaining to Center For Grief Recovery And Sibling Loss last refreshed?
The information related to the Center For Grief Recovery And Sibling Loss, including its address, specialty, and other relevant details, was last updated on 2009-10-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN