Kelly J Dial is a Clinical in Springfield, Illinois. Kelly J Dial practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly J Dial is 1225120819. The last update date is 2012-12-10.
Kelly J Dial's current location address is 215 S Grand Ave W, Springfield, Illinois. You can contact this provider via phone number 2177443525 and fax number 2177443535. The mailing address for Kelly J Dial is 215 S Grand Ave W, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Dial |
|---|---|
| Address | 215 S Grand Ave W, Springfield, Illinois |
| Phone Number | 2177443525 |
| Fax Number | 2177443535 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225120819 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2012-12-10 |
Provider Mailing Address Detail
| Address | 215 S Grand Ave W |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627043838 |
| Phone Number | 2177443525 |
| Fax Number | 2177443535 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149007784 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8425920 | IL | BCBS | |
| 249424000 | IL | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly J Dial by the Centers for Medicare & Medicaid Services?
The Kelly J Dial has been issued the NPI (National Provider Identifier) 1225120819, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly J Dial's physical address?
The Kelly J Dial is physically located at 215 S Grand Ave W, in the city of Springfield, IL, with the postal code 627043838.
What is the Kelly J Dial's specialty and taxonomy code?
The Kelly J Dial's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Kelly J Dial's 1225120819 issued?
The Kelly J Dial's 1225120819 was issued on 2006-09-29.
When was the information regarding Kelly J Dial, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly J Dial, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-10.
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