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
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
Provider Enumeration Date 2006-09-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4230 Lincolnshire Dr
City Mount Vernon
State Illinois (IL)
Post Code 628642189
Phone Number 6182424205
Fax Number 6182424209

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
TRICARE IL LCSW
AETNA 5424723 IL LCSW
BC/BS 04132009 IL LCSW

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FAQs about Darla B Wexstten

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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