Ellen M Woodham-Johnson in Manteno - Clinical

Ellen M Woodham-Johnson - NPI 1902070097

Ellen M Woodham-Johnson is a Clinical in Manteno, Illinois. Ellen M Woodham-Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen M Woodham-Johnson is 1902070097. The last update date is 2008-04-18.

Ellen M Woodham-Johnson's current location address is Po Box 764, Manteno, Illinois. You can contact this provider via phone number 7083815009. The mailing address for Ellen M Woodham-Johnson is Po Box 764, Manteno, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen M Woodham-Johnson
Address Po Box 764, Manteno, Illinois
Phone Number 7083815009
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1902070097
Provider Enumeration Date 2008-04-18
Last Updated Date 2008-04-18

Provider Mailing Address Detail

Address Po Box 764
City Manteno
State Illinois (IL)
Post Code 609500764
Phone Number 7083815009
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Ellen M Woodham-Johnson

What is the unique 10-digit identifier code issued to Ellen M Woodham-Johnson by the Centers for Medicare & Medicaid Services?

The Ellen M Woodham-Johnson has been assigned the NPI (National Provider Identifier) 1902070097 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ellen M Woodham-Johnson's facilities are geographically located?

The facilities of Ellen M Woodham-Johnson are physically situated at the following location: Po Box 764, Manteno, IL, 609500764.

What is Ellen M Woodham-Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ellen M Woodham-Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When did Ellen M Woodham-Johnson receive its 1902070097 assignment?

The Ellen M Woodham-Johnson was assigned its 1902070097 on 2008-04-18, which is the date when this unique identifier was issued to the organization.

When was the information regarding Ellen M Woodham-Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ellen M Woodham-Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-18.

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