Carolyn Jean Duvall in Edwardsville - Clinical
Carolyn Jean Duvall - NPI 1376736868
Carolyn Jean Duvall is a Clinical in Edwardsville, Illinois. Carolyn Jean Duvall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Jean Duvall is 1376736868. The last update date is 2007-08-20.
Carolyn Jean Duvall's current location address is 26 Tranquility Rdg, Edwardsville, Illinois. You can contact this provider via phone number 6186560690. The mailing address for Carolyn Jean Duvall is 26 Tranquility Rdg, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Jean Duvall |
|---|---|
| Address | 26 Tranquility Rdg, Edwardsville, Illinois |
| Phone Number | 6186560690 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1376736868 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 26 Tranquility Rdg |
|---|---|
| City | Edwardsville |
| State | Illinois (IL) |
| Post Code | 620254901 |
| Phone Number | 6186560690 |
| Fax Number |
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 issued to Carolyn Jean Duvall by the Centers for Medicare & Medicaid Services?
The Carolyn Jean Duvall has been assigned the NPI (National Provider Identifier) 1376736868 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Carolyn Jean Duvall?
The Carolyn Jean Duvall is situated at 26 Tranquility Rdg, in the city of Edwardsville, state of IL, with the zip code 620254901.
What is Carolyn Jean Duvall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolyn Jean Duvall's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Carolyn Jean Duvall receive its 1376736868 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Jean Duvall was assigned its 1376736868 by the Centers for Medicare & Medicaid Services on 2007-08-20.
As of what date were the details related to Carolyn Jean Duvall most recently updated or revised?
The information pertaining to Carolyn Jean Duvall, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-20.