Mark A Pedigo is a Clinical in Naperville, Illinois. Mark A Pedigo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark A Pedigo is 1063504793. The last update date is 2007-11-20.
Mark A Pedigo's current location address is 1819 Bay Scott Cir Ste 109, Naperville, Illinois. You can contact this provider via phone number 6303572456 and fax number 6303572482. The mailing address for Mark A Pedigo is 1819 Bay Scott Cir Ste 109, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Pedigo |
|---|---|
| Address | 1819 Bay Scott Cir Ste 109, Naperville, Illinois |
| Phone Number | 6303572456 |
| Fax Number | 6303572482 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063504793 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 1819 Bay Scott Cir Ste 109 |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605401130 |
| Phone Number | 6303572456 |
| Fax Number | 6303572482 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 identifier code issued to Mark A Pedigo by the Centers for Medicare & Medicaid Services?
The Mark A Pedigo has been assigned the NPI (National Provider Identifier) 1063504793. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark A Pedigo located?
The Mark A Pedigo is located at 1819 Bay Scott Cir Ste 109, Naperville, IL 605401130.
What is the Mark A Pedigo's specialty and taxonomy code?
The Mark A Pedigo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063504793 to Mark A Pedigo?
The Mark A Pedigo received its 1063504793 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date was the information pertaining to Mark A Pedigo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark A Pedigo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-20.