Family Counseling Services Of Northern Il in Rockford - Clinical
Family Counseling Services Of Northern Il - NPI 1639241748
Family Counseling Services Of Northern Il is a Clinical in Rockford, Illinois. Family Counseling Services Of Northern Il practices all healthcare services and medical treatments related to Clinical. The NPI Number for Family Counseling Services Of Northern Il is 1639241748. The last update date is 2020-10-28.
Family Counseling Services Of Northern Il's current location address is 631 N Longwood St Ste 103, Rockford, Illinois. You can contact this provider via phone number 8159625585 and fax number 8159628945. The mailing address for Family Counseling Services Of Northern Il is 631 N Longwood St Ste 103, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Family Counseling Services Of Northern Il |
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Address | 631 N Longwood St Ste 103, Rockford, Illinois |
Phone Number | 8159625585 |
Fax Number | 8159628945 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Edwards Kathi |
Telephone Number | 8159625585 |
NPI Number Detail
NPI Number | 1639241748 |
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Provider Enumeration Date | 2006-11-14 |
Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
Address | 631 N Longwood St Ste 103 |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611074263 |
Phone Number | 8159625585 |
Fax Number | 8159628945 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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 |
---|---|---|---|
314780 | IL | MEDICARE NEW | |
101-19312 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Family Counseling Services Of Northern Il by the Centers for Medicare & Medicaid Services?
The Family Counseling Services Of Northern Il has been issued the NPI (National Provider Identifier) 1639241748 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Family Counseling Services Of Northern Il's physical address?
The Family Counseling Services Of Northern Il is physically located at 631 N Longwood St Ste 103, in the city of Rockford, IL, with the postal code 611074263.
What is Family Counseling Services Of Northern Il's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Family Counseling Services Of Northern Il's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Family Counseling Services Of Northern Il receive its 1639241748 assignment from the Centers for Medicare & Medicaid Services?
The Family Counseling Services Of Northern Il was assigned its 1639241748 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Family Counseling Services Of Northern Il most recently updated or revised?
The information pertaining to Family Counseling Services Of Northern Il, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-28.