Elizabeth Ann Douglas in Chicago - Clinical
Elizabeth Ann Douglas - NPI 1154378081
Elizabeth Ann Douglas is a Clinical in Chicago, Illinois. Elizabeth Ann Douglas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Ann Douglas is 1154378081. The last update date is 2007-07-08.
Elizabeth Ann Douglas's current location address is 6648 N Newgard Ave, Chicago, Illinois. You can contact this provider via phone number 7733812350. The mailing address for Elizabeth Ann Douglas is 6648 N Newgard Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Ann Douglas |
|---|---|
| Address | 6648 N Newgard Ave, Chicago, Illinois |
| Phone Number | 7733812350 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1154378081 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6648 N Newgard Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606264712 |
| Phone Number | 7733812350 |
| Fax Number |
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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What is the unique identification code assigned to Elizabeth Ann Douglas by the Centers for Medicare & Medicaid Services?
The Elizabeth Ann Douglas has been issued the NPI (National Provider Identifier) 1154378081. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Elizabeth Ann Douglas is physically located?
The Elizabeth Ann Douglas is situated at the following address: 6648 N Newgard Ave, Chicago, IL 606264712.
What is the Elizabeth Ann Douglas's area of specialization and corresponding taxonomy classification?
The Elizabeth Ann Douglas's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1154378081 to Elizabeth Ann Douglas?
The Elizabeth Ann Douglas received its 1154378081 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.
As of what date were the details pertaining to Elizabeth Ann Douglas last refreshed?
The information related to the Elizabeth Ann Douglas, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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