Julie W Tennill is a Clinical in Jacksonville, Illinois. Julie W Tennill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie W Tennill is 1629086913. The last update date is 2020-04-07.
Julie W Tennill's current location address is 1515 W Walnut St, Jacksonville, Illinois. You can contact this provider via phone number 2172457275 and fax number 2172457427. The mailing address for Julie W Tennill is 1515 W Walnut St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie W Tennill |
|---|---|
| Address | 1515 W Walnut St, Jacksonville, Illinois |
| Phone Number | 2172457275 |
| Fax Number | 2172457427 |
| Sole Proprietor | N |
| Credentials | MSW, ACSW, |
NPI Number Detail
| NPI Number | 1629086913 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2020-04-07 |
Provider Mailing Address Detail
| Address | 1515 W Walnut St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501150 |
| Phone Number | 2172457275 |
| Fax Number | 2172457427 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149001875 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HEALTHLINK | IL | 681484 | |
| 6932018 | IL | BC/BS | |
| 41-2267080 | IL | IRS TAX ID | |
| 100842 | IL | HEALTH ALLIANCE | |
| 149001875 | IL | IL STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Julie W Tennill by the Centers for Medicare & Medicaid Services?
The Julie W Tennill has been assigned the NPI (National Provider Identifier) 1629086913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Julie W Tennill's facilities are situated?
The facilities of Julie W Tennill are physically located at the following address: 1515 W Walnut St, Jacksonville, IL, 626501150.
What is Julie W Tennill's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Julie W Tennill is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1629086913 assigned to Julie W Tennill?
The Julie W Tennill was issued its 1629086913 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Julie W Tennill's details last updated?
The information pertaining to the Julie W Tennill, including its address, specialty, and other details, was most recently updated on 2020-04-07.