Dawn Heather Mccollom in Morris - Clinical
Dawn Heather Mccollom - NPI 1841454766
Dawn Heather Mccollom is a Clinical in Morris, Illinois. Dawn Heather Mccollom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dawn Heather Mccollom is 1841454766. The last update date is 2012-01-01.
Dawn Heather Mccollom's current location address is 1802 N Division St, Morris, Illinois. You can contact this provider via phone number 8159413882 and fax number 8159413884. The mailing address for Dawn Heather Mccollom is 1802 N Division St, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn Heather Mccollom |
|---|---|
| Address | 1802 N Division St, Morris, Illinois |
| Phone Number | 8159413882 |
| Fax Number | 8159413884 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1841454766 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2012-01-01 |
Provider Mailing Address Detail
| Address | 1802 N Division St |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604501182 |
| Phone Number | 8159413882 |
| Fax Number | 8159413884 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.012197 |
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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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What is the unique identification code assigned to Dawn Heather Mccollom by the Centers for Medicare & Medicaid Services?
The Dawn Heather Mccollom has been issued the NPI (National Provider Identifier) 1841454766. 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 Dawn Heather Mccollom?
The Dawn Heather Mccollom is physically situated at 1802 N Division St, in the city of Morris, state of IL, with the postal code 604501182.
What is Dawn Heather Mccollom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dawn Heather Mccollom's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Dawn Heather Mccollom receive its 1841454766 assignment?
The Dawn Heather Mccollom was assigned its 1841454766 on 2008-07-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Dawn Heather Mccollom's details last updated?
The information pertaining to the Dawn Heather Mccollom, including its address, specialty, and other details, was most recently updated on 2012-01-01.