Noel L. Blackburn is a Clinical in Evanston, Illinois. Noel L. Blackburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Noel L. Blackburn is 1164613725. The last update date is 2007-08-07.
Noel L. Blackburn's current location address is 2500 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8473286999. The mailing address for Noel L. Blackburn is 2500 Ridge Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Noel L. Blackburn |
|---|---|
| Address | 2500 Ridge Ave, Evanston, Illinois |
| Phone Number | 8473286999 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, PH.D |
NPI Number Detail
| NPI Number | 1164613725 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | 2500 Ridge Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602012455 |
| Phone Number | 8473286999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.005978 |
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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 Noel L. Blackburn by the Centers for Medicare & Medicaid Services?
The Noel L. Blackburn has been issued the NPI (National Provider Identifier) 1164613725. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Noel L. Blackburn is geographically located?
The Noel L. Blackburn is physically situated at the following location: 2500 Ridge Ave, Evanston, IL, 602012455.
What is the Noel L. Blackburn's specialty and taxonomy code?
The Noel L. Blackburn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164613725 to Noel L. Blackburn?
The Noel L. Blackburn received its 1164613725 assignment from the Centers for Medicare & Medicaid Services on 2007-08-07.
When was the Noel L. Blackburn's information last updated?
The Noel L. Blackburn's information was last updated on 2007-08-07.
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