Lisa Coburn is a Clinical in Joliet, Illinois. Lisa Coburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Coburn is 1861511719. The last update date is 2007-07-08.
Lisa Coburn's current location address is 501 Ella Ave, Joliet, Illinois. You can contact this provider via phone number 8157278521. The mailing address for Lisa Coburn is 501 Ella Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Coburn |
|---|---|
| Address | 501 Ella Ave, Joliet, Illinois |
| Phone Number | 8157278521 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861511719 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 Ella Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604332799 |
| Phone Number | 8157278521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Coburn?
The Lisa Coburn has been issued the NPI (National Provider Identifier) 1861511719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lisa Coburn's facilities are geographically located?
The facilities of Lisa Coburn are physically situated at the following location: 501 Ella Ave, Joliet, IL, 604332799.
What is the Lisa Coburn's area of specialization and corresponding taxonomy classification?
The Lisa Coburn's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Coburn receive its 1861511719 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Coburn was assigned its 1861511719 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date was the information regarding Lisa Coburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Coburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.