Jodi Deyoung is a Clinical in Plainfield, Illinois. Jodi Deyoung practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jodi Deyoung is 1164642641. The last update date is 2008-10-26.
Jodi Deyoung's current location address is 2907 Bliss Ct, Plainfield, Illinois. You can contact this provider via phone number 6302340178 and fax number 8156093050. The mailing address for Jodi Deyoung is 2907 Bliss Ct, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Deyoung |
|---|---|
| Address | 2907 Bliss Ct, Plainfield, Illinois |
| Phone Number | 6302340178 |
| Fax Number | 8156093050 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164642641 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2008-10-26 |
Provider Mailing Address Detail
| Address | 2907 Bliss Ct |
|---|---|
| City | Plainfield |
| State | Illinois (IL) |
| Post Code | 605862833 |
| Phone Number | 6302340178 |
| Fax Number | 8156093050 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149006185 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149006185 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jodi Deyoung by the Centers for Medicare & Medicaid Services?
The Jodi Deyoung has been issued the NPI (National Provider Identifier) 1164642641 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jodi Deyoung located?
The Jodi Deyoung is located at 2907 Bliss Ct, Plainfield, IL 605862833.
What is the Jodi Deyoung's specialty and taxonomy code?
The Jodi Deyoung's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164642641 to Jodi Deyoung?
The Centers for Medicare & Medicaid Services originally issued the 1164642641 to Jodi Deyoung on 2007-04-26.
When was the information pertaining to Jodi Deyoung most recently updated or revised?
The details related to Jodi Deyoung, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-26.