Amy Derringer Chandler in Evanston - Clinical
Amy Derringer Chandler - NPI 1679604623
Amy Derringer Chandler is a Clinical in Evanston, Illinois. Amy Derringer Chandler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Derringer Chandler is 1679604623. The last update date is 2009-06-25.
Amy Derringer Chandler's current location address is 1740 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8474757003. The mailing address for Amy Derringer Chandler is 1740 Ridge Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Derringer Chandler |
|---|---|
| Address | 1740 Ridge Ave, Evanston, Illinois |
| Phone Number | 8474757003 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1679604623 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2009-06-25 |
Provider Mailing Address Detail
| Address | 1740 Ridge Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602015918 |
| Phone Number | 8474757003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010632 |
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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 Amy Derringer Chandler's 1679604623?
The Amy Derringer Chandler's NPI (National Provider Identifier) Number is 1679604623. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Amy Derringer Chandler's facilities are situated?
The facilities of Amy Derringer Chandler are physically located at the following address: 1740 Ridge Ave, Evanston, IL, 602015918.
What is the area of specialization for Amy Derringer Chandler, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amy Derringer Chandler is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Amy Derringer Chandler receive the assignment of its 1679604623 from the Centers for Medicare & Medicaid Services?
The Amy Derringer Chandler was issued its 1679604623 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the Amy Derringer Chandler's details last updated?
The information pertaining to the Amy Derringer Chandler, including its address, specialty, and other details, was most recently updated on 2009-06-25.
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