Kathaleen Rene Neville in Gurnee - Clinical

Kathaleen Rene Neville - NPI 1851449276

Kathaleen Rene Neville is a Clinical in Gurnee, Illinois. Kathaleen Rene Neville practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathaleen Rene Neville is 1851449276. The last update date is 2007-07-08.

Kathaleen Rene Neville's current location address is 135 North Greenleaf Ave, Gurnee, Illinois. You can contact this provider via phone number 8472635872 and fax number 8472635850. The mailing address for Kathaleen Rene Neville is 135 North Greenleaf Ave, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathaleen Rene Neville
Address 135 North Greenleaf Ave, Gurnee, Illinois
Phone Number 8472635872
Fax Number 8472635850
Sole Proprietor N
Credentials MSW LCSW

NPI Number Detail

NPI Number 1851449276
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 135 North Greenleaf Ave
City Gurnee
State Illinois (IL)
Post Code 60031
Phone Number 8472635872
Fax Number 8472635850

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149004758
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
495982 IL VALUE OPTIONS
4905163 IL BLUE CROSS BLUE SHIELD

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FAQs about Kathaleen Rene Neville

What is the unique identifier code issued to Kathaleen Rene Neville by the Centers for Medicare & Medicaid Services (CMS)?

The Kathaleen Rene Neville has been assigned the NPI (National Provider Identifier) 1851449276. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kathaleen Rene Neville is physically located?

The Kathaleen Rene Neville is situated at the following address: 135 North Greenleaf Ave, Gurnee, IL 60031.

What is Kathaleen Rene Neville's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kathaleen Rene Neville is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

When did the Kathaleen Rene Neville receive its 1851449276?

The Kathaleen Rene Neville was issued its 1851449276 on 2007-01-08, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Kathaleen Rene Neville, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kathaleen Rene Neville, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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