Danielle Komen is a Clinical in Chicago, Illinois. Danielle Komen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Danielle Komen is 1538316880. The last update date is 2011-08-01.
Danielle Komen's current location address is 836 W Wellington Ave, Chicago, Illinois. You can contact this provider via phone number 7732965930 and fax number 7732965920. The mailing address for Danielle Komen is 836 W Wellington Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danielle Komen |
|---|---|
| Address | 836 W Wellington Ave, Chicago, Illinois |
| Phone Number | 7732965930 |
| Fax Number | 7732965920 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1538316880 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2011-08-01 |
Provider Mailing Address Detail
| Address | 836 W Wellington Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606575147 |
| Phone Number | 7732965930 |
| Fax Number | 7732965920 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012483 |
|
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 |
|---|---|---|---|
| 1093787095 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Danielle Komen by the Centers for Medicare & Medicaid Services?
The Danielle Komen has been assigned the NPI (National Provider Identifier) 1538316880. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Danielle Komen is geographically located?
The Danielle Komen is physically situated at the following location: 836 W Wellington Ave, Chicago, IL, 606575147.
What is Danielle Komen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Danielle Komen is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538316880 to Danielle Komen?
The Danielle Komen received its 1538316880 assignment from the Centers for Medicare & Medicaid Services on 2008-08-19.
As of what date was the information regarding Danielle Komen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Danielle Komen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-01.