Shelly L Patchett is a Clinical in Rockton, Illinois. Shelly L Patchett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelly L Patchett is 1215070487. The last update date is 2013-07-08.
Shelly L Patchett's current location address is 1107 N Blackhawk Blvd, Rockton, Illinois. You can contact this provider via phone number 8154949115 and fax number 8159265301. The mailing address for Shelly L Patchett is 1107 N Blackhawk Blvd, Rockton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly L Patchett |
|---|---|
| Address | 1107 N Blackhawk Blvd, Rockton, Illinois |
| Phone Number | 8154949115 |
| Fax Number | 8159265301 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1215070487 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2013-07-08 |
Provider Mailing Address Detail
| Address | 1107 N Blackhawk Blvd |
|---|---|
| City | Rockton |
| State | Illinois (IL) |
| Post Code | 610721500 |
| Phone Number | 8154949115 |
| Fax Number | 8159265301 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.009828 |
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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 Shelly L Patchett's unique identification number?
The Shelly L Patchett has been assigned the NPI (National Provider Identifier) Number 1215070487 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shelly L Patchett is physically located?
The Shelly L Patchett is situated at the following address: 1107 N Blackhawk Blvd, Rockton, IL 610721500.
What is Shelly L Patchett's area of expertise and its corresponding taxonomy classification?
The Shelly L Patchett's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215070487 to Shelly L Patchett?
The Centers for Medicare & Medicaid Services originally issued the 1215070487 to Shelly L Patchett on 2007-02-15.
As of what date were the Shelly L Patchett's details last updated?
The information pertaining to the Shelly L Patchett, including its address, specialty, and other details, was most recently updated on 2013-07-08.
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