Jeffrey N Blaine in River Forest - Clinical
Jeffrey N Blaine - NPI 1093806614
Jeffrey N Blaine is a Clinical in River Forest, Illinois. Jeffrey N Blaine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey N Blaine is 1093806614. The last update date is 2007-07-08.
Jeffrey N Blaine's current location address is 803 Monroe Ave, River Forest, Illinois. You can contact this provider via phone number 3126565361 and fax number 3125581570. The mailing address for Jeffrey N Blaine is 803 Monroe Ave, River Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey N Blaine |
|---|---|
| Address | 803 Monroe Ave, River Forest, Illinois |
| Phone Number | 3126565361 |
| Fax Number | 3125581570 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1093806614 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 803 Monroe Ave |
|---|---|
| City | River Forest |
| State | Illinois (IL) |
| Post Code | 603051421 |
| Phone Number | 3126565361 |
| Fax Number | 3125581570 |
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 Jeffrey N Blaine's unique identification number?
The Jeffrey N Blaine has been assigned the NPI (National Provider Identifier) Number 1093806614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Jeffrey N Blaine by the Centers for Medicare & Medicaid Services?
The Jeffrey N Blaine has been issued the NPI (National Provider Identifier) 1093806614, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Jeffrey N Blaine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey N Blaine is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Jeffrey N Blaine receive its 1093806614?
The Jeffrey N Blaine was issued its 1093806614 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
On what date did the Jeffrey N Blaine receive its 1093806614 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey N Blaine was assigned its 1093806614 by the Centers for Medicare & Medicaid Services on 2006-09-27.