Catherine J Kilbourn in Peoria - Clinical
Catherine J Kilbourn - NPI 1023179967
Catherine J Kilbourn is a Clinical in Peoria, Illinois. Catherine J Kilbourn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine J Kilbourn is 1023179967. The last update date is 2007-07-08.
Catherine J Kilbourn's current location address is 900 Main St, Peoria, Illinois. You can contact this provider via phone number 3096374266 and fax number 3096379836. The mailing address for Catherine J Kilbourn is 900 Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Catherine J Kilbourn |
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Address | 900 Main St, Peoria, Illinois |
Phone Number | 3096374266 |
Fax Number | 3096379836 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1023179967 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 900 Main St |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616021005 |
Phone Number | 3096374266 |
Fax Number | 3096379836 |
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 |
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What is the unique provider identifier assigned to Catherine J Kilbourn?
The Catherine J Kilbourn has been issued the NPI (National Provider Identifier) 1023179967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Catherine J Kilbourn?
The Catherine J Kilbourn is situated at 900 Main St, in the city of Peoria, state of IL, with the zip code 616021005.
What is the Catherine J Kilbourn's specialty and taxonomy code?
The Catherine J Kilbourn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Catherine J Kilbourn receive its 1023179967 assignment from the Centers for Medicare & Medicaid Services?
The Catherine J Kilbourn was assigned its 1023179967 on 2006-12-13, 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 related to Catherine J Kilbourn most recently updated or revised?
The information pertaining to Catherine J Kilbourn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.