Joseph P Croegaert in Peoria - Clinical

Joseph P Croegaert - NPI 1770663908

Joseph P Croegaert is a Clinical in Peoria, Illinois. Joseph P Croegaert practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph P Croegaert is 1770663908. The last update date is 2007-07-08.

Joseph P Croegaert's current location address is 3020 W Willow Knolls Dr, Peoria, Illinois. You can contact this provider via phone number 3096815850 and fax number 3096815658. The mailing address for Joseph P Croegaert is 3020 W Willow Knolls Dr, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph P Croegaert
Address 3020 W Willow Knolls Dr, Peoria, Illinois
Phone Number 3096815850
Fax Number 3096815658
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1770663908
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3020 W Willow Knolls Dr
City Peoria
State Illinois (IL)
Post Code 616148127
Phone Number 3096815850
Fax Number 3096815658

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
113255 IL HEALTH ALLIANCE ID
IL0119 FOR 3713 IL ID FOR JOHN DEERE HEALTH

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FAQs about Joseph P Croegaert

What is the unique 10-digit identifier code issued to Joseph P Croegaert by the Centers for Medicare & Medicaid Services?

The Joseph P Croegaert has been assigned the NPI (National Provider Identifier) 1770663908 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Joseph P Croegaert?

The Joseph P Croegaert is physically situated at 3020 W Willow Knolls Dr, in the city of Peoria, state of IL, with the postal code 616148127.

What is the area of specialization for Joseph P Croegaert, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Joseph P Croegaert is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

When did the Joseph P Croegaert receive its 1770663908?

The Joseph P Croegaert was issued its 1770663908 on 2006-10-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Joseph P Croegaert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Joseph P Croegaert, 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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