Phyllis Woodward is a Clinical in Moline, Illinois. Phyllis Woodward practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Woodward is 1699768457. The last update date is 2007-07-08.
Phyllis Woodward's current location address is 4602 3rd St, Moline, Illinois. You can contact this provider via phone number 3097792031. The mailing address for Phyllis Woodward is 4602 3rd St, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Woodward |
|---|---|
| Address | 4602 3rd St, Moline, Illinois |
| Phone Number | 3097792031 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699768457 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4602 3rd St |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656106 |
| Phone Number | 3097792031 |
| 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL01W3 | IL | JOHN DEERE NUMBER | |
| 95077 | IL | BLUE CROSS IOWA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phyllis Woodward by the Centers for Medicare & Medicaid Services?
The Phyllis Woodward has been issued the NPI (National Provider Identifier) 1699768457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Phyllis Woodward is physically located?
The Phyllis Woodward is physically situated at the following address: 4602 3Rd St, Moline, IL, 612656106.
What is Phyllis Woodward's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phyllis Woodward's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Phyllis Woodward's 1699768457 issued?
The Phyllis Woodward's 1699768457 was issued on 2005-08-26.
When was the information regarding Phyllis Woodward most recently updated?
The details pertaining to the Phyllis Woodward, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.