Phyllis Goldberg Maciulis in Chicago - Clinical
Phyllis Goldberg Maciulis - NPI 1396956538
Phyllis Goldberg Maciulis is a Clinical in Chicago, Illinois. Phyllis Goldberg Maciulis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Goldberg Maciulis is 1396956538. The last update date is 2015-04-21.
Phyllis Goldberg Maciulis's current location address is 1801 W 21st Pl, Chicago, Illinois. You can contact this provider via phone number 3122186627 and fax number 3125060103. The mailing address for Phyllis Goldberg Maciulis is 1801 W 21st Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Goldberg Maciulis |
|---|---|
| Address | 1801 W 21st Pl, Chicago, Illinois |
| Phone Number | 3122186627 |
| Fax Number | 3125060103 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396956538 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2015-04-21 |
Provider Mailing Address Detail
| Address | 1801 W 21st Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606084305 |
| Phone Number | 3122186627 |
| Fax Number | 3125060103 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.008545 |
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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 identifier code assigned to Phyllis Goldberg Maciulis by the Centers for Medicare & Medicaid Services?
The Phyllis Goldberg Maciulis has been issued the NPI (National Provider Identifier) 1396956538 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Phyllis Goldberg Maciulis is geographically located?
The Phyllis Goldberg Maciulis is physically situated at the following location: 1801 W 21St Pl, Chicago, IL, 606084305.
What is the Phyllis Goldberg Maciulis's specialty and taxonomy code?
The Phyllis Goldberg Maciulis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Phyllis Goldberg Maciulis receive the assignment of its 1396956538 from the Centers for Medicare & Medicaid Services?
The Phyllis Goldberg Maciulis was issued its 1396956538 by the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information pertaining to Phyllis Goldberg Maciulis most recently updated or revised?
The details related to Phyllis Goldberg Maciulis, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-21.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL