Joan M Lodge is a Clinical in Rockford, Illinois. Joan M Lodge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan M Lodge is 1568559219. The last update date is 2007-07-08.
Joan M Lodge's current location address is 526 W State Street, Rockford, Illinois. You can contact this provider via phone number 8159689300 and fax number 8159685314. The mailing address for Joan M Lodge is 526 W State Street, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan M Lodge |
|---|---|
| Address | 526 W State Street, Rockford, Illinois |
| Phone Number | 8159689300 |
| Fax Number | 8159685314 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568559219 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 526 W State Street |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611011214 |
| Phone Number | 8159689300 |
| Fax Number | 8159685314 |
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 unique identifier code issued to Joan M Lodge by the Centers for Medicare & Medicaid Services?
The Joan M Lodge has been assigned the NPI (National Provider Identifier) 1568559219. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joan M Lodge located?
The Joan M Lodge is located at 526 W State Street, Rockford, IL 611011214.
What is Joan M Lodge's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Joan M Lodge is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Joan M Lodge receive its 1568559219?
The Joan M Lodge was issued its 1568559219 on 2006-10-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Joan M Lodge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joan M Lodge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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