William R Tennill in Springfield - Clinical

William R Tennill - NPI 1154339349

William R Tennill is a Clinical in Springfield, Illinois. William R Tennill practices all healthcare services and medical treatments related to Clinical. The NPI Number for William R Tennill is 1154339349. The last update date is 2007-07-09.

William R Tennill's current location address is 800 E Carpenter St, Springfield, Illinois. You can contact this provider via phone number 2175446464 and fax number 2177576021. The mailing address for William R Tennill is 800 E Carpenter St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name William R Tennill
Address 800 E Carpenter St, Springfield, Illinois
Phone Number 2175446464
Fax Number 2177576021
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1154339349
Provider Enumeration Date 2006-08-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 800 E Carpenter St
City Springfield
State Illinois (IL)
Post Code 627025324
Phone Number 2175446464
Fax Number 2177576021

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100775 IL HEALTH ALLIANCE
681484 IL HEALTHLINK
6932018 IL BC/BS

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FAQs about William R Tennill

What is the unique identifier code issued to William R Tennill by the Centers for Medicare & Medicaid Services?

The William R Tennill has been assigned the NPI (National Provider Identifier) 1154339349. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the William R Tennill's physical address?

The William R Tennill is physically located at 800 E Carpenter St, in the city of Springfield, IL, with the postal code 627025324.

What is William R Tennill's specialized field of practice, and what is the corresponding taxonomy classification code?

The William R Tennill's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date was the 1154339349 assigned to William R Tennill?

The William R Tennill was issued its 1154339349 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding William R Tennill, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William R Tennill, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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