Phyllis Sydnie Gould in Chicago - Clinical
Phyllis Sydnie Gould - NPI 1215920608
Phyllis Sydnie Gould is a Clinical in Chicago, Illinois. Phyllis Sydnie Gould practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Sydnie Gould is 1215920608. The last update date is 2007-07-08.
Phyllis Sydnie Gould's current location address is 4305 N Lincoln Ave, Chicago, Illinois. You can contact this provider via phone number 7739353480 and fax number 7739353701. The mailing address for Phyllis Sydnie Gould is 4305 N Lincoln Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Phyllis Sydnie Gould |
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Address | 4305 N Lincoln Ave, Chicago, Illinois |
Phone Number | 7739353480 |
Fax Number | 7739353701 |
Sole Proprietor | X |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1215920608 |
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Provider Enumeration Date | 2005-08-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4305 N Lincoln Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606181711 |
Phone Number | 7739353480 |
Fax Number | 7739353701 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 identifier code issued to Phyllis Sydnie Gould by the Centers for Medicare & Medicaid Services?
The Phyllis Sydnie Gould has been assigned the NPI (National Provider Identifier) 1215920608. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Phyllis Sydnie Gould?
The Phyllis Sydnie Gould is situated at 4305 N Lincoln Ave, in the city of Chicago, state of IL, with the zip code 606181711.
What is the area of specialization for Phyllis Sydnie Gould, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phyllis Sydnie Gould is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215920608 to Phyllis Sydnie Gould?
The Centers for Medicare & Medicaid Services assigned the 1215920608 to Phyllis Sydnie Gould on 2005-08-31.
As of what date were the details related to Phyllis Sydnie Gould most recently updated or revised?
The information pertaining to Phyllis Sydnie Gould, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.