Jacqueline Lee Hogan in Mchenry - Clinical
Jacqueline Lee Hogan - NPI 1912039512
Jacqueline Lee Hogan is a Clinical in Mchenry, Illinois. Jacqueline Lee Hogan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Lee Hogan is 1912039512. The last update date is 2007-07-08.
Jacqueline Lee Hogan's current location address is 5206 W Elm, Mchenry, Illinois. You can contact this provider via phone number 8155468021. The mailing address for Jacqueline Lee Hogan is 5206 W Elm, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Lee Hogan |
|---|---|
| Address | 5206 W Elm, Mchenry, Illinois |
| Phone Number | 8155468021 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912039512 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5206 W Elm |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 60050 |
| Phone Number | 8155468021 |
| 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5627713 | IL | BCBS |
Post Comment/ Review Below
What is the Jacqueline Lee Hogan's unique identification number?
The Jacqueline Lee Hogan has been assigned the NPI (National Provider Identifier) Number 1912039512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jacqueline Lee Hogan located?
The Jacqueline Lee Hogan is located at 5206 W Elm, Mchenry, IL 60050.
What is Jacqueline Lee Hogan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacqueline Lee Hogan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Jacqueline Lee Hogan's 1912039512 issued?
The Jacqueline Lee Hogan's 1912039512 was issued on 2007-03-09.
As of what date was the information pertaining to Jacqueline Lee Hogan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline Lee Hogan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.