Starla Rae Sholl in Chicago - Clinical

Starla Rae Sholl - NPI 1245363860

Starla Rae Sholl is a Clinical in Chicago, Illinois. Starla Rae Sholl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Starla Rae Sholl is 1245363860. The last update date is 2007-07-08.

Starla Rae Sholl's current location address is 5349 N Winthrop Ave, Chicago, Illinois. You can contact this provider via phone number 7738785809 and fax number 7738785809. The mailing address for Starla Rae Sholl is 5349 N Winthrop Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Starla Rae Sholl
Address 5349 N Winthrop Ave, Chicago, Illinois
Phone Number 7738785809
Fax Number 7738785809
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1245363860
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5349 N Winthrop Ave
City Chicago
State Illinois (IL)
Post Code 606402309
Phone Number 7738785809
Fax Number 7738785809

Provider's Primary Taxonomy Detail

Speciality Clinical
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1627237 IL BLUE CROSS & BLUE SHIELD

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FAQs about Starla Rae Sholl

What is the unique identification code assigned to Starla Rae Sholl by the Centers for Medicare & Medicaid Services?

The Starla Rae Sholl has been issued the NPI (National Provider Identifier) 1245363860. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Starla Rae Sholl's facilities are geographically located?

The facilities of Starla Rae Sholl are physically situated at the following location: 5349 N Winthrop Ave, Chicago, IL, 606402309.

What is Starla Rae Sholl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Starla Rae Sholl's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Starla Rae Sholl receive the assignment of its 1245363860 from the Centers for Medicare & Medicaid Services?

The Starla Rae Sholl was issued its 1245363860 by the Centers for Medicare & Medicaid Services on 2007-03-13.

As of what date was the information pertaining to Starla Rae Sholl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Starla Rae Sholl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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