Colleen Clark Lay in Montgomery - Clinical
Colleen Clark Lay - NPI 1093803058
Colleen Clark Lay is a Clinical in Montgomery, Illinois. Colleen Clark Lay practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen Clark Lay is 1093803058. The last update date is 2012-10-04.
Colleen Clark Lay's current location address is 2556 Robert Dr, Montgomery, Illinois. You can contact this provider via phone number 6308924824. The mailing address for Colleen Clark Lay is 2556 Robert Dr, Montgomery, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Clark Lay |
|---|---|
| Address | 2556 Robert Dr, Montgomery, Illinois |
| Phone Number | 6308924824 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093803058 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2012-10-04 |
Provider Mailing Address Detail
| Address | 2556 Robert Dr |
|---|---|
| City | Montgomery |
| State | Illinois (IL) |
| Post Code | 605383351 |
| Phone Number | 6308924824 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010985 |
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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 identification code assigned to Colleen Clark Lay by the Centers for Medicare & Medicaid Services?
The Colleen Clark Lay has been issued the NPI (National Provider Identifier) 1093803058. 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 Colleen Clark Lay?
The Colleen Clark Lay is physically situated at 2556 Robert Dr, in the city of Montgomery, state of IL, with the postal code 605383351.
What is the Colleen Clark Lay's specialty and taxonomy code?
The Colleen Clark Lay's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093803058 to Colleen Clark Lay?
The Centers for Medicare & Medicaid Services assigned the 1093803058 to Colleen Clark Lay on 2006-10-11.
When was the information pertaining to Colleen Clark Lay most recently updated or revised?
The details related to Colleen Clark Lay, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-04.