Corri J Ferdman is a Clinical in Lake Bluff, Illinois. Corri J Ferdman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Corri J Ferdman is 1588787279. The last update date is 2010-03-02.
Corri J Ferdman's current location address is 900 North Shore Dr, Lake Bluff, Illinois. You can contact this provider via phone number 8477930788 and fax number 8477930789. The mailing address for Corri J Ferdman is 900 North Shore Dr, Lake Bluff, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corri J Ferdman |
|---|---|
| Address | 900 North Shore Dr, Lake Bluff, Illinois |
| Phone Number | 8477930788 |
| Fax Number | 8477930789 |
| Sole Proprietor | Y |
| Credentials | LCSW, LLC |
NPI Number Detail
| NPI Number | 1588787279 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2010-03-02 |
Provider Mailing Address Detail
| Address | 900 North Shore Dr |
|---|---|
| City | Lake Bluff |
| State | Illinois (IL) |
| Post Code | 600442243 |
| Phone Number | 8477930788 |
| Fax Number | 8477930789 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149009759 |
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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 |
|---|---|---|---|
| 200866811 | IL | CORPHEALTH | |
| 200866811 | IL | FIRST HEALTH | |
| 200866811 | IL | UNITED HEALTH CARE | |
| 200866811 | IL | VALUE OPTIONS | |
| 200866811 | IL | UNITED BEHAVIORAL HEALTH | |
| 200866811 | IL | AETNA | |
| 200866811 | IL | HUMANA | |
| 200866811 | IL | CIGNA | |
| 493-2415 | IL | BLUE CROSS BLUE SHIELD | |
| 793339000 | IL | MAGELLAN |
Post Comment/ Review Below
What is the unique identification code assigned to Corri J Ferdman by the Centers for Medicare & Medicaid Services?
The Corri J Ferdman has been issued the NPI (National Provider Identifier) 1588787279. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Corri J Ferdman?
The Corri J Ferdman is physically situated at 900 North Shore Dr, in the city of Lake Bluff, state of IL, with the postal code 600442243.
What is Corri J Ferdman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Corri J Ferdman'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 1588787279 to Corri J Ferdman?
The Centers for Medicare & Medicaid Services originally issued the 1588787279 to Corri J Ferdman on 2007-04-09.
When was the information regarding Corri J Ferdman most recently updated?
The details pertaining to the Corri J Ferdman, including its address, specialty, and other relevant information, were last refreshed on 2010-03-02.
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