Lori Lynn Carlson is a Clinical in Quincy, Illinois. Lori Lynn Carlson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori Lynn Carlson is 1619071255. The last update date is 2011-09-16.
Lori Lynn Carlson's current location address is 1025 Maine St, Quincy, Illinois. You can contact this provider via phone number 2172226550. The mailing address for Lori Lynn Carlson is 1025 Maine St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Lynn Carlson |
|---|---|
| Address | 1025 Maine St, Quincy, Illinois |
| Phone Number | 2172226550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | QMHP, MSW |
NPI Number Detail
| NPI Number | 1619071255 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | 1025 Maine St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623014038 |
| Phone Number | 2172226550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012502 |
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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 Lori Lynn Carlson's 1619071255?
The Lori Lynn Carlson's NPI (National Provider Identifier) Number is 1619071255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lori Lynn Carlson is located?
The Lori Lynn Carlson is situated at the following address: 1025 Maine St, Quincy, IL, 623014038.
What is Lori Lynn Carlson's area of expertise and its corresponding taxonomy classification?
The Lori Lynn Carlson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lori Lynn Carlson receive its 1619071255 assignment from the Centers for Medicare & Medicaid Services?
The Lori Lynn Carlson was assigned its 1619071255 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the Lori Lynn Carlson's information last updated?
The Lori Lynn Carlson's information was last updated on 2011-09-16.
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