Clifford Brickman is a Clinical in Chicago, Illinois. Clifford Brickman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clifford Brickman is 1679659072. The last update date is 2007-07-08.
Clifford Brickman's current location address is 2800 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 7739353500 and fax number 7734721022. The mailing address for Clifford Brickman is 2800 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Brickman |
|---|---|
| Address | 2800 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 7739353500 |
| Fax Number | 7734721022 |
| Sole Proprietor | Y |
| Credentials | DN, DCSW, |
NPI Number Detail
| NPI Number | 1679659072 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2800 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606576232 |
| Phone Number | 7739353500 |
| Fax Number | 7734721022 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1617791 | IL | BSBS-IL: CLINIC-LCSW | |
| 1628275 | IL | BCBS-IL: CLINIC-NAPRAPATH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clifford Brickman?
The Clifford Brickman has been issued the NPI (National Provider Identifier) 1679659072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clifford Brickman's facilities are geographically located?
The facilities of Clifford Brickman are physically situated at the following location: 2800 N Lake Shore Dr, Chicago, IL, 606576232.
What is Clifford Brickman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clifford Brickman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Clifford Brickman receive the assignment of its 1679659072 from the Centers for Medicare & Medicaid Services?
The Clifford Brickman was issued its 1679659072 by the Centers for Medicare & Medicaid Services on 2006-10-27.
When was the Clifford Brickman's information last updated?
The Clifford Brickman's information was last updated on 2007-07-08.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL