Darla B Wexstten in Mount Vernon - Clinical
Darla B Wexstten - NPI 1093818114
Darla B Wexstten is a Clinical in Mount Vernon, Illinois. Darla B Wexstten practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darla B Wexstten is 1093818114. The last update date is 2007-07-08.
Darla B Wexstten's current location address is 4230 Lincolnshire Dr, Mount Vernon, Illinois. You can contact this provider via phone number 6182424205 and fax number 6182424209. The mailing address for Darla B Wexstten is 4230 Lincolnshire Dr, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Darla B Wexstten |
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Address | 4230 Lincolnshire Dr, Mount Vernon, Illinois |
Phone Number | 6182424205 |
Fax Number | 6182424209 |
Sole Proprietor | Y |
Credentials | MSW, LCSW, |
NPI Number Detail
NPI Number | 1093818114 |
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Provider Enumeration Date | 2006-09-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4230 Lincolnshire Dr |
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City | Mount Vernon |
State | Illinois (IL) |
Post Code | 628642189 |
Phone Number | 6182424205 |
Fax Number | 6182424209 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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 |
---|---|---|---|
TRICARE | IL | LCSW | |
AETNA 5424723 | IL | LCSW | |
BC/BS 04132009 | IL | LCSW |
Post Comment/ Review Below
What is the unique identifier code issued to Darla B Wexstten by the Centers for Medicare & Medicaid Services?
The Darla B Wexstten has been assigned the NPI (National Provider Identifier) 1093818114. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Darla B Wexstten?
The Darla B Wexstten is situated at 4230 Lincolnshire Dr, in the city of Mount Vernon, state of IL, with the zip code 628642189.
What is the Darla B Wexstten's area of specialization and corresponding taxonomy classification?
The Darla B Wexstten's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Darla B Wexstten receive its 1093818114?
The Darla B Wexstten was issued its 1093818114 on 2006-09-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Darla B Wexstten, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Darla B Wexstten, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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