Susan Poole Nolls in Jacksonville - Clinical
Susan Poole Nolls - NPI 1154475903
Susan Poole Nolls is a Clinical in Jacksonville, Illinois. Susan Poole Nolls practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Poole Nolls is 1154475903. The last update date is 2007-07-08.
Susan Poole Nolls's current location address is 125 S Webster Ave, Jacksonville, Illinois. You can contact this provider via phone number 2174794384. The mailing address for Susan Poole Nolls is 125 S Webster Ave, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Poole Nolls |
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Address | 125 S Webster Ave, Jacksonville, Illinois |
Phone Number | 2174794384 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1154475903 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 125 S Webster Ave |
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City | Jacksonville |
State | Illinois (IL) |
Post Code | 626501877 |
Phone Number | 2174794384 |
Fax Number |
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 10-digit identifier code issued to Susan Poole Nolls by the Centers for Medicare & Medicaid Services?
The Susan Poole Nolls has been assigned the NPI (National Provider Identifier) 1154475903 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan Poole Nolls is geographically located?
The Susan Poole Nolls is physically situated at the following location: 125 S Webster Ave, Jacksonville, IL, 626501877.
What is the area of specialization for Susan Poole Nolls, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Poole Nolls is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Susan Poole Nolls receive its 1154475903 assignment?
The Susan Poole Nolls was assigned its 1154475903 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
When was the Susan Poole Nolls's information last updated?
The Susan Poole Nolls's information was last updated on 2007-07-08.