Eva Ericsson is a Clinical in Willowbrook, Illinois. Eva Ericsson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eva Ericsson is 1629119268. The last update date is 2007-07-08.
Eva Ericsson's current location address is 6310 Tremont St, Willowbrook, Illinois. You can contact this provider via phone number 6308879733 and fax number 6308879776. The mailing address for Eva Ericsson is 6310 Tremont St, Willowbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eva Ericsson |
|---|---|
| Address | 6310 Tremont St, Willowbrook, Illinois |
| Phone Number | 6308879733 |
| Fax Number | 6308879776 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629119268 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6310 Tremont St |
|---|---|
| City | Willowbrook |
| State | Illinois (IL) |
| Post Code | 605275476 |
| Phone Number | 6308879733 |
| Fax Number | 6308879776 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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What is the unique 10-digit identification code assigned to Eva Ericsson by the Centers for Medicare & Medicaid Services?
The Eva Ericsson has been issued the NPI (National Provider Identifier) 1629119268, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eva Ericsson located?
The Eva Ericsson is located at 6310 Tremont St, Willowbrook, IL 605275476.
What is the Eva Ericsson's specialty and taxonomy code?
The Eva Ericsson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629119268 to Eva Ericsson?
The Centers for Medicare & Medicaid Services originally issued the 1629119268 to Eva Ericsson on 2007-02-08.
As of what date were the Eva Ericsson's details last updated?
The information pertaining to the Eva Ericsson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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