Cicely Johnson is a Clinical in Chicago, Illinois. Cicely Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cicely Johnson is 1336343045. The last update date is 2010-12-30.
Cicely Johnson's current location address is 77 W Washington St, Chicago, Illinois. You can contact this provider via phone number 3128238600 and fax number 3128238600. The mailing address for Cicely Johnson is 77 W Washington St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cicely Johnson |
|---|---|
| Address | 77 W Washington St, Chicago, Illinois |
| Phone Number | 3128238600 |
| Fax Number | 3128238600 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336343045 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | 77 W Washington St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606022801 |
| Phone Number | 3128238600 |
| Fax Number | 3128238600 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.012218 |
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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 10-digit identification code assigned to Cicely Johnson by the Centers for Medicare & Medicaid Services?
The Cicely Johnson has been issued the NPI (National Provider Identifier) 1336343045, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Cicely Johnson's physical address?
The Cicely Johnson is physically located at 77 W Washington St, in the city of Chicago, IL, with the postal code 606022801.
What is the area of specialization for Cicely Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cicely Johnson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Cicely Johnson receive its 1336343045 assignment from the Centers for Medicare & Medicaid Services?
The Cicely Johnson was assigned its 1336343045 by the Centers for Medicare & Medicaid Services on 2007-06-14.
As of what date were the Cicely Johnson's details last updated?
The information pertaining to the Cicely Johnson, including its address, specialty, and other details, was most recently updated on 2010-12-30.
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