Carol Lynn Didominicis in Streamwood - Clinical
Carol Lynn Didominicis - NPI 1629113394
Carol Lynn Didominicis is a Clinical in Streamwood, Illinois. Carol Lynn Didominicis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Lynn Didominicis is 1629113394. The last update date is 2007-07-08.
Carol Lynn Didominicis's current location address is 679 W Streamwood Blvd Unit A, Streamwood, Illinois. You can contact this provider via phone number 8472128553 and fax number 6304831546. The mailing address for Carol Lynn Didominicis is 679 W Streamwood Blvd Unit A, Streamwood, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carol Lynn Didominicis |
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Address | 679 W Streamwood Blvd Unit A, Streamwood, Illinois |
Phone Number | 8472128553 |
Fax Number | 6304831546 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1629113394 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 679 W Streamwood Blvd Unit A |
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City | Streamwood |
State | Illinois (IL) |
Post Code | 601074227 |
Phone Number | 8472128553 |
Fax Number | 6304831546 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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 |
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What is the Carol Lynn Didominicis's 1629113394?
The Carol Lynn Didominicis's NPI (National Provider Identifier) Number is 1629113394. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carol Lynn Didominicis is located?
The Carol Lynn Didominicis is situated at the following address: 679 W Streamwood Blvd Unit A, Streamwood, IL, 601074227.
What is Carol Lynn Didominicis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol Lynn Didominicis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629113394 to Carol Lynn Didominicis?
The Carol Lynn Didominicis received its 1629113394 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details related to Carol Lynn Didominicis most recently updated or revised?
The information pertaining to Carol Lynn Didominicis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.