Dean Phillip Kopecky in Arlington Hts - Clinical
Dean Phillip Kopecky - NPI 1508074436
Dean Phillip Kopecky is a Clinical in Arlington Hts, Illinois. Dean Phillip Kopecky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dean Phillip Kopecky is 1508074436. The last update date is 2007-07-08.
Dean Phillip Kopecky's current location address is 1835 W Central Rd, Arlington Hts, Illinois. You can contact this provider via phone number 8473855045. The mailing address for Dean Phillip Kopecky is 1835 W Central Rd, Arlington Hts, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Phillip Kopecky |
|---|---|
| Address | 1835 W Central Rd, Arlington Hts, Illinois |
| Phone Number | 8473855045 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508074436 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1835 W Central Rd |
|---|---|
| City | Arlington Hts |
| State | Illinois (IL) |
| Post Code | 600052410 |
| Phone Number | 8473855045 |
| 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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What is the unique 10-digit identifier code assigned to Dean Phillip Kopecky by the Centers for Medicare & Medicaid Services?
The Dean Phillip Kopecky has been issued the NPI (National Provider Identifier) 1508074436 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Dean Phillip Kopecky's physical address?
The Dean Phillip Kopecky is physically located at 1835 W Central Rd, in the city of Arlington Hts, IL, with the postal code 600052410.
What is Dean Phillip Kopecky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dean Phillip Kopecky's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Dean Phillip Kopecky receive its 1508074436 assignment from the Centers for Medicare & Medicaid Services?
The Dean Phillip Kopecky was assigned its 1508074436 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dean Phillip Kopecky last refreshed?
The information related to the Dean Phillip Kopecky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.