Jon Chencinski is a Clinical in Chicago, Illinois. Jon Chencinski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jon Chencinski is 1164581153. The last update date is 2007-07-08.
Jon Chencinski's current location address is 5209 N Clark St, Chicago, Illinois. You can contact this provider via phone number 7738588061 and fax number 7735615764. The mailing address for Jon Chencinski is 5209 N Clark St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Chencinski |
|---|---|
| Address | 5209 N Clark St, Chicago, Illinois |
| Phone Number | 7738588061 |
| Fax Number | 7735615764 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164581153 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5209 N Clark St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606402101 |
| Phone Number | 7738588061 |
| Fax Number | 7735615764 |
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 10-digit identification code issued to Jon Chencinski by the Centers for Medicare & Medicaid Services?
The Jon Chencinski has been assigned the NPI (National Provider Identifier) 1164581153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jon Chencinski?
The Jon Chencinski is situated at 5209 N Clark St, in the city of Chicago, state of IL, with the zip code 606402101.
What is the Jon Chencinski's specialty and taxonomy code?
The Jon Chencinski's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164581153 to Jon Chencinski?
The Centers for Medicare & Medicaid Services originally issued the 1164581153 to Jon Chencinski on 2006-12-06.
When was the information pertaining to Jon Chencinski most recently updated or revised?
The details related to Jon Chencinski, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.