Joseph S. Canevello in Crystal Lake - Clinical

Joseph S. Canevello - NPI 1831105469

Joseph S. Canevello is a Clinical in Crystal Lake, Illinois. Joseph S. Canevello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph S. Canevello is 1831105469. The last update date is 2007-07-08.

Joseph S. Canevello's current location address is 610 Crystal Point Dr Ste 3, Crystal Lake, Illinois. You can contact this provider via phone number 8154772270 and fax number 8154772287. The mailing address for Joseph S. Canevello is 610 Crystal Point Dr Ste 3, Crystal Lake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph S. Canevello
Address 610 Crystal Point Dr Ste 3, Crystal Lake, Illinois
Phone Number 8154772270
Fax Number 8154772287
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1831105469
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 610 Crystal Point Dr Ste 3
City Crystal Lake
State Illinois (IL)
Post Code 600141400
Phone Number 8154772270
Fax Number 8154772287

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
25640569 IL BLUE CROSS/SHIELD #

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FAQs about Joseph S. Canevello

What is the unique 10-digit identifier code issued to Joseph S. Canevello by the Centers for Medicare & Medicaid Services?

The Joseph S. Canevello has been assigned the NPI (National Provider Identifier) 1831105469 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Joseph S. Canevello's facilities are situated?

The facilities of Joseph S. Canevello are physically located at the following address: 610 Crystal Point Dr Ste 3, Crystal Lake, IL, 600141400.

What is Joseph S. Canevello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joseph S. Canevello's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1831105469 assigned to Joseph S. Canevello?

The Joseph S. Canevello was issued its 1831105469 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Joseph S. Canevello most recently updated?

The details pertaining to the Joseph S. Canevello, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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