David Jay Fish in Warrenville - Clinical

David Jay Fish - NPI 1205983475

David Jay Fish is a Clinical in Warrenville, Illinois. David Jay Fish practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Jay Fish is 1205983475. The last update date is 2007-07-08.

David Jay Fish's current location address is 29w120 Butterfield Rd Ste 104a, Warrenville, Illinois. You can contact this provider via phone number 6303934010 and fax number 6303934010. The mailing address for David Jay Fish is 29w120 Butterfield Rd Ste 104a, Warrenville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David Jay Fish
Address 29w120 Butterfield Rd Ste 104a, Warrenville, Illinois
Phone Number 6303934010
Fax Number 6303934010
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1205983475
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 29w120 Butterfield Rd Ste 104a
City Warrenville
State Illinois (IL)
Post Code 605552830
Phone Number 6303934010
Fax Number 6303934010

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

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FAQs about David Jay Fish

What is the David Jay Fish's 1205983475?

The David Jay Fish's NPI (National Provider Identifier) Number is 1205983475. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where David Jay Fish's facilities are geographically located?

The facilities of David Jay Fish are physically situated at the following location: 29W120 Butterfield Rd Ste 104A, Warrenville, IL, 605552830.

What is David Jay Fish's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Jay Fish's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did David Jay Fish receive its 1205983475 assignment from the Centers for Medicare & Medicaid Services?

The David Jay Fish was assigned its 1205983475 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to David Jay Fish, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Jay Fish, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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