Jerome Damasco is a Clinical in Skokie, Illinois. Jerome Damasco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome Damasco is 1407981632. The last update date is 2007-07-08.
Jerome Damasco's current location address is 7707 Kenneth Ave, Skokie, Illinois. You can contact this provider via phone number 3127497934 and fax number 8479721120. The mailing address for Jerome Damasco is 7707 Kenneth Ave, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Damasco |
|---|---|
| Address | 7707 Kenneth Ave, Skokie, Illinois |
| Phone Number | 3127497934 |
| Fax Number | 8479721120 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1407981632 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7707 Kenneth Ave |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 600763617 |
| Phone Number | 3127497934 |
| Fax Number | 8479721120 |
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 Jerome Damasco by the Centers for Medicare & Medicaid Services?
The Jerome Damasco has been assigned the NPI (National Provider Identifier) 1407981632. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerome Damasco's facilities are situated?
The facilities of Jerome Damasco are physically located at the following address: 7707 Kenneth Ave, Skokie, IL, 600763617.
What is Jerome Damasco's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerome Damasco is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407981632 to Jerome Damasco?
The Centers for Medicare & Medicaid Services originally issued the 1407981632 to Jerome Damasco on 2007-02-21.
As of what date were the details related to Jerome Damasco most recently updated or revised?
The information pertaining to Jerome Damasco, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC