Jack Richey is a Clinical in Danville, Illinois. Jack Richey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Richey is 1225121510. The last update date is 2014-05-12.
Jack Richey's current location address is 311 W.fairchild Street, Danville, Illinois. You can contact this provider via phone number 2174317898 and fax number 2174317634. The mailing address for Jack Richey is 311 W.fairchild Street, Danville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Richey |
|---|---|
| Address | 311 W.fairchild Street, Danville, Illinois |
| Phone Number | 2174317898 |
| Fax Number | 2174317634 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225121510 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2014-05-12 |
Provider Mailing Address Detail
| Address | 311 W.fairchild Street |
|---|---|
| City | Danville |
| State | Illinois (IL) |
| Post Code | 61832 |
| Phone Number | 2174317898 |
| Fax Number | 2174317634 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149004431 |
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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 |
|---|---|---|---|
| 533210001 | DMERC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Richey by the Centers for Medicare & Medicaid Services?
The Jack Richey has been assigned the NPI (National Provider Identifier) 1225121510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jack Richey is physically located?
The Jack Richey is physically situated at the following address: 311 W.Fairchild Street, Danville, IL, 61832.
What is Jack Richey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Richey is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225121510 to Jack Richey?
The Centers for Medicare & Medicaid Services originally issued the 1225121510 to Jack Richey on 2006-10-01.
As of what date was the information pertaining to Jack Richey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Richey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-12.