Amy Luetke is a Clinical in Grayslake, Illinois. Amy Luetke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Luetke is 1649308636. The last update date is 2007-07-08.
Amy Luetke's current location address is 18640 W Belvidere Road, Grayslake, Illinois. You can contact this provider via phone number 8475486000 and fax number 8475486040. The mailing address for Amy Luetke is 18640 W Belvidere Road, Grayslake, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amy Luetke |
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Address | 18640 W Belvidere Road, Grayslake, Illinois |
Phone Number | 8475486000 |
Fax Number | 8475486040 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1649308636 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 18640 W Belvidere Road |
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City | Grayslake |
State | Illinois (IL) |
Post Code | 60030 |
Phone Number | 8475486000 |
Fax Number | 8475486040 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 provider identifier assigned to Amy Luetke?
The Amy Luetke has been issued the NPI (National Provider Identifier) 1649308636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Amy Luetke?
The Amy Luetke is physically situated at 18640 W Belvidere Road, in the city of Grayslake, state of IL, with the postal code 60030.
What is the Amy Luetke's specialty and taxonomy code?
The Amy Luetke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Amy Luetke receive its 1649308636 assignment from the Centers for Medicare & Medicaid Services?
The Amy Luetke was assigned its 1649308636 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details related to Amy Luetke most recently updated or revised?
The information pertaining to Amy Luetke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.