Ida Roldan is a Clinical in Oak Park, Illinois. Ida Roldan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ida Roldan is 1740346089. The last update date is 2007-07-08.
Ida Roldan's current location address is 137 N Oak Park Ave, Oak Park, Illinois. You can contact this provider via phone number 7086609650. The mailing address for Ida Roldan is 137 N Oak Park Ave, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida Roldan |
|---|---|
| Address | 137 N Oak Park Ave, Oak Park, Illinois |
| Phone Number | 7086609650 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D., LCS |
NPI Number Detail
| NPI Number | 1740346089 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 137 N Oak Park Ave |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603011344 |
| Phone Number | 7086609650 |
| Fax Number |
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 10-digit identifier code assigned to Ida Roldan by the Centers for Medicare & Medicaid Services?
The Ida Roldan has been issued the NPI (National Provider Identifier) 1740346089 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ida Roldan's physical address?
The Ida Roldan is physically located at 137 N Oak Park Ave, in the city of Oak Park, IL, with the postal code 603011344.
What is the Ida Roldan's area of specialization and corresponding taxonomy classification?
The Ida Roldan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Ida Roldan receive its 1740346089 assignment from the Centers for Medicare & Medicaid Services?
The Ida Roldan was assigned its 1740346089 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the Ida Roldan's information last updated?
The Ida Roldan's information was last updated on 2007-07-08.