Peggy Derango is a Clinical in Rockford, Illinois. Peggy Derango practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peggy Derango is 1801072046. The last update date is 2008-01-17.
Peggy Derango's current location address is 6975 Redansa Dr, Rockford, Illinois. You can contact this provider via phone number 8143987000. The mailing address for Peggy Derango is 6975 Redansa Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Derango |
|---|---|
| Address | 6975 Redansa Dr, Rockford, Illinois |
| Phone Number | 8143987000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W., L. |
NPI Number Detail
| NPI Number | 1801072046 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 6975 Redansa Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611081201 |
| Phone Number | 8143987000 |
| Fax Number |
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 10-digit identification code assigned to Peggy Derango by the Centers for Medicare & Medicaid Services?
The Peggy Derango has been issued the NPI (National Provider Identifier) 1801072046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Peggy Derango's physical address?
The Peggy Derango is physically located at 6975 Redansa Dr, in the city of Rockford, IL, with the postal code 611081201.
What is the Peggy Derango's specialty and taxonomy code?
The Peggy Derango's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Peggy Derango's 1801072046 issued?
The Peggy Derango's 1801072046 was issued on 2008-01-17.
When was the information related to Peggy Derango most recently updated or refreshed?
The details pertaining to the Peggy Derango, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-17.
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