Oak Forest Psychological Service in Countryside - Clinical
Oak Forest Psychological Service - NPI 1225209414
Oak Forest Psychological Service is a Clinical in Countryside, Illinois. Oak Forest Psychological Service practices all healthcare services and medical treatments related to Clinical. The NPI Number for Oak Forest Psychological Service is 1225209414. The last update date is 2017-06-12.
Oak Forest Psychological Service's current location address is 6502 Joliet Rd, Countryside, Illinois. You can contact this provider via phone number 7082158400 and fax number 7082158410. The mailing address for Oak Forest Psychological Service is 6502 Joliet Rd, Countryside, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oak Forest Psychological Service |
|---|---|
| Address | 6502 Joliet Rd, Countryside, Illinois |
| Phone Number | 7082158400 |
| Fax Number | 7082158410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Sweis Roger |
| Telephone Number | 7082158400 |
NPI Number Detail
| NPI Number | 1225209414 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2017-06-12 |
Provider Mailing Address Detail
| Address | 6502 Joliet Rd |
|---|---|
| City | Countryside |
| State | Illinois (IL) |
| Post Code | 605254613 |
| Phone Number | 7082158400 |
| Fax Number | 7082158410 |
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 assigned to Oak Forest Psychological Service by the Centers for Medicare & Medicaid Services?
The Oak Forest Psychological Service has been issued the NPI (National Provider Identifier) 1225209414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Oak Forest Psychological Service?
The Oak Forest Psychological Service is situated at 6502 Joliet Rd, in the city of Countryside, state of IL, with the zip code 605254613.
What is the Oak Forest Psychological Service's specialty and taxonomy code?
The Oak Forest Psychological Service's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Oak Forest Psychological Service receive its 1225209414 assignment from the Centers for Medicare & Medicaid Services?
The Oak Forest Psychological Service was assigned its 1225209414 on 2008-03-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Oak Forest Psychological Service, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Oak Forest Psychological Service, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-06-12.
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