Daniel Sommer is a Clinical in Rockford, Illinois. Daniel Sommer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel Sommer is 1265470496. The last update date is 2022-07-21.
Daniel Sommer's current location address is 2823 Glenwood Avenue, Rockford, Illinois. You can contact this provider via phone number 8159685342 and fax number 8159684656. The mailing address for Daniel Sommer is 2823 Glenwood Avenue, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Sommer |
|---|---|
| Address | 2823 Glenwood Avenue, Rockford, Illinois |
| Phone Number | 8159685342 |
| Fax Number | 8159684656 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265470496 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2823 Glenwood Avenue |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61101 |
| Phone Number | 8159685342 |
| Fax Number | 8159684656 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004801A |
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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 |
|---|---|---|---|
| 383548 | IN | ANTHEM BC/BS PROVIDER NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Daniel Sommer by the Centers for Medicare & Medicaid Services?
The Daniel Sommer has been issued the NPI (National Provider Identifier) 1265470496 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Daniel Sommer?
The Daniel Sommer is situated at 2823 Glenwood Avenue, in the city of Rockford, state of IL, with the zip code 61101.
What is Daniel Sommer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daniel Sommer's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Daniel Sommer receive its 1265470496?
The Daniel Sommer was issued its 1265470496 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Daniel Sommer most recently updated or revised?
The details related to Daniel Sommer, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.