Mary Elizabeth Pacejka in La Grange - Clinical
Mary Elizabeth Pacejka - NPI 1467585489
Mary Elizabeth Pacejka is a Clinical in La Grange, Illinois. Mary Elizabeth Pacejka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Elizabeth Pacejka is 1467585489. The last update date is 2007-07-08.
Mary Elizabeth Pacejka's current location address is 110 Bassford Ave, La Grange, Illinois. You can contact this provider via phone number 7084820612. The mailing address for Mary Elizabeth Pacejka is 110 Bassford Ave, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Pacejka |
|---|---|
| Address | 110 Bassford Ave, La Grange, Illinois |
| Phone Number | 7084820612 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467585489 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Bassford Ave |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605251728 |
| Phone Number | 7084820612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010797 |
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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 Mary Elizabeth Pacejka's 1467585489?
The Mary Elizabeth Pacejka's NPI (National Provider Identifier) Number is 1467585489. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Elizabeth Pacejka is physically located?
The Mary Elizabeth Pacejka is situated at the following address: 110 Bassford Ave, La Grange, IL 605251728.
What is Mary Elizabeth Pacejka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Elizabeth Pacejka's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467585489 to Mary Elizabeth Pacejka?
The Centers for Medicare & Medicaid Services originally issued the 1467585489 to Mary Elizabeth Pacejka on 2007-03-13.
As of what date were the details related to Mary Elizabeth Pacejka most recently updated or revised?
The information pertaining to Mary Elizabeth Pacejka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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