Penelope A Andersen in Glen Ellyn - Clinical
Penelope A Andersen - NPI 1821167982
Penelope A Andersen is a Clinical in Glen Ellyn, Illinois. Penelope A Andersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penelope A Andersen is 1821167982. The last update date is 2007-07-08.
Penelope A Andersen's current location address is 516 N Main St Ste A, Glen Ellyn, Illinois. You can contact this provider via phone number 6308581075 and fax number 6308585569. The mailing address for Penelope A Andersen is 516 N Main St Ste A, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Penelope A Andersen |
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Address | 516 N Main St Ste A, Glen Ellyn, Illinois |
Phone Number | 6308581075 |
Fax Number | 6308585569 |
Sole Proprietor | N |
Credentials | LCSW,LMFT, |
NPI Number Detail
NPI Number | 1821167982 |
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Provider Enumeration Date | 2006-11-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 516 N Main St Ste A |
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City | Glen Ellyn |
State | Illinois (IL) |
Post Code | 601375175 |
Phone Number | 6308581075 |
Fax Number | 6308585569 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 149009657 |
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 Penelope A Andersen by the Centers for Medicare & Medicaid Services?
The Penelope A Andersen has been issued the NPI (National Provider Identifier) 1821167982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Penelope A Andersen's physical address?
The Penelope A Andersen is physically located at 516 N Main St Ste A, in the city of Glen Ellyn, IL, with the postal code 601375175.
What is Penelope A Andersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Penelope A Andersen is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Penelope A Andersen receive its 1821167982 assignment from the Centers for Medicare & Medicaid Services?
The Penelope A Andersen was assigned its 1821167982 on 2006-11-06, 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 Penelope A Andersen most recently updated or revised?
The information pertaining to Penelope A Andersen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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