Traci Melinda Fertel in Plainfield - Clinical
Traci Melinda Fertel - NPI 1902962178
Traci Melinda Fertel is a Clinical in Plainfield, Illinois. Traci Melinda Fertel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traci Melinda Fertel is 1902962178. The last update date is 2010-05-17.
Traci Melinda Fertel's current location address is 13300 Division, Plainfield, Illinois. You can contact this provider via phone number 8155773666. The mailing address for Traci Melinda Fertel is 13300 Division, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Melinda Fertel |
|---|---|
| Address | 13300 Division, Plainfield, Illinois |
| Phone Number | 8155773666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902962178 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2010-05-17 |
Provider Mailing Address Detail
| Address | 13300 Division |
|---|---|
| City | Plainfield |
| State | Illinois (IL) |
| Post Code | 60585 |
| Phone Number | 8155773666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-001920 |
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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 Traci Melinda Fertel's unique identification number?
The Traci Melinda Fertel has been assigned the NPI (National Provider Identifier) Number 1902962178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Traci Melinda Fertel?
The Traci Melinda Fertel is situated at 13300 Division, in the city of Plainfield, state of IL, with the zip code 60585.
What is Traci Melinda Fertel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Traci Melinda Fertel is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Traci Melinda Fertel receive its 1902962178?
The Traci Melinda Fertel was issued its 1902962178 on 2006-12-29, which is the date when the organization was assigned this unique identifier.
As of what date were the Traci Melinda Fertel's details last updated?
The information pertaining to the Traci Melinda Fertel, including its address, specialty, and other details, was most recently updated on 2010-05-17.
NPI Number: 1215930573
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