Brenda Sullivan-Rice in Elkville - Clinical
Brenda Sullivan-Rice - NPI 1073712626
Brenda Sullivan-Rice is a Clinical in Elkville, Illinois. Brenda Sullivan-Rice practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Sullivan-Rice is 1073712626. The last update date is 2023-10-24.
Brenda Sullivan-Rice's current location address is 1102 Maksin Rd, Elkville, Illinois. You can contact this provider via phone number 6185595035. The mailing address for Brenda Sullivan-Rice is 1102 Maksin Rd, Elkville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brenda Sullivan-Rice |
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Address | 1102 Maksin Rd, Elkville, Illinois |
Phone Number | 6185595035 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1073712626 |
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Provider Enumeration Date | 2007-07-13 |
Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
Address | 1102 Maksin Rd |
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City | Elkville |
State | Illinois (IL) |
Post Code | 629322220 |
Phone Number | 6185595035 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 149006017 |
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 |
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370966854004 | IL | -- | |
640701 | IL | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brenda Sullivan-Rice by the Centers for Medicare & Medicaid Services?
The Brenda Sullivan-Rice has been issued the NPI (National Provider Identifier) 1073712626 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Brenda Sullivan-Rice is physically located?
The Brenda Sullivan-Rice is physically situated at the following address: 1102 Maksin Rd, Elkville, IL, 629322220.
What is the Brenda Sullivan-Rice's area of specialization and corresponding taxonomy classification?
The Brenda Sullivan-Rice's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Brenda Sullivan-Rice receive its 1073712626 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Sullivan-Rice was assigned its 1073712626 on 2007-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brenda Sullivan-Rice most recently updated or revised?
The information pertaining to Brenda Sullivan-Rice, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-24.