Camilla Wallace is a Clinical in Evanston, Illinois. Camilla Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Camilla Wallace is 1851572606. The last update date is 2013-09-16.
Camilla Wallace's current location address is 1007 Church St, Evanston, Illinois. You can contact this provider via phone number 8474921938 and fax number 8474235670. The mailing address for Camilla Wallace is 1007 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Camilla Wallace |
|---|---|
| Address | 1007 Church St, Evanston, Illinois |
| Phone Number | 8474921938 |
| Fax Number | 8474235670 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851572606 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
| Address | 1007 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602013624 |
| Phone Number | 8474921938 |
| Fax Number | 8474235670 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.013306 |
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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 identification code assigned to Camilla Wallace by the Centers for Medicare & Medicaid Services?
The Camilla Wallace has been issued the NPI (National Provider Identifier) 1851572606. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Camilla Wallace is physically located?
The Camilla Wallace is situated at the following address: 1007 Church St, Evanston, IL 602013624.
What is the Camilla Wallace's area of specialization and corresponding taxonomy classification?
The Camilla Wallace's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Camilla Wallace's 1851572606 issued?
The Camilla Wallace's 1851572606 was issued on 2007-11-21.
When was the information related to Camilla Wallace most recently updated or refreshed?
The details pertaining to the Camilla Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-16.
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