Erin Kathleen Brazill in Urbana - Clinical
Erin Kathleen Brazill - NPI 1689796401
Erin Kathleen Brazill is a Clinical in Urbana, Illinois. Erin Kathleen Brazill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Erin Kathleen Brazill is 1689796401. The last update date is 2015-08-21.
Erin Kathleen Brazill's current location address is 611 W. Park St., Urbana, Illinois. You can contact this provider via phone number 2173836792. The mailing address for Erin Kathleen Brazill is 611 W. Park St., Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin Kathleen Brazill |
|---|---|
| Address | 611 W. Park St., Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, ATR- |
NPI Number Detail
| NPI Number | 1689796401 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2015-08-21 |
Provider Mailing Address Detail
| Address | 611 W. Park St. |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012500 |
| Phone Number | 2173836792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012478 |
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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 |
|---|---|---|---|
| 1184775413 | IL | ORGANIZATIONAL NPI |
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What is the unique identifier code issued to Erin Kathleen Brazill by the Centers for Medicare & Medicaid Services?
The Erin Kathleen Brazill has been assigned the NPI (National Provider Identifier) 1689796401. 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 Erin Kathleen Brazill's facilities are situated?
The facilities of Erin Kathleen Brazill are physically located at the following address: 611 W. Park St., Urbana, IL, 618012500.
What is Erin Kathleen Brazill's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erin Kathleen Brazill's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1689796401 assigned to Erin Kathleen Brazill?
The Erin Kathleen Brazill was issued its 1689796401 on 2007-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Erin Kathleen Brazill most recently updated or revised?
The details related to Erin Kathleen Brazill, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-21.
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