Nicole Lis is a Clinical in Libertyville, Illinois. Nicole Lis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicole Lis is 1720147424. The last update date is 2007-07-09.
Nicole Lis's current location address is 31480 Us Highway 45, Libertyville, Illinois. You can contact this provider via phone number 8476802715 and fax number 8476803832. The mailing address for Nicole Lis is 31480 Us Highway 45, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Lis |
|---|---|
| Address | 31480 Us Highway 45, Libertyville, Illinois |
| Phone Number | 8476802715 |
| Fax Number | 8476803832 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720147424 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 31480 Us Highway 45 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 60048 |
| Phone Number | 8476802715 |
| Fax Number | 8476803832 |
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 identifier code issued to Nicole Lis by the Centers for Medicare & Medicaid Services?
The Nicole Lis has been assigned the NPI (National Provider Identifier) 1720147424. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Nicole Lis is geographically located?
The Nicole Lis is physically situated at the following location: 31480 Us Highway 45, Libertyville, IL, 60048.
What is the area of specialization for Nicole Lis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nicole Lis is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720147424 to Nicole Lis?
The Centers for Medicare & Medicaid Services assigned the 1720147424 to Nicole Lis on 2006-12-08.
When was the information regarding Nicole Lis most recently updated?
The details pertaining to the Nicole Lis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.