Ellen Kenemore is a Clinical in Wilmette, Illinois. Ellen Kenemore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Kenemore is 1033253257. The last update date is 2019-10-23.
Ellen Kenemore's current location address is 1609 Spencer Ave, Wilmette, Illinois. You can contact this provider via phone number 8474910080 and fax number 8472511266. The mailing address for Ellen Kenemore is 1609 Spencer Ave, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Kenemore |
|---|---|
| Address | 1609 Spencer Ave, Wilmette, Illinois |
| Phone Number | 8474910080 |
| Fax Number | 8472511266 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1033253257 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2019-10-23 |
Provider Mailing Address Detail
| Address | 1609 Spencer Ave |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600912436 |
| Phone Number | 8474910080 |
| Fax Number | 8472511266 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-001380 |
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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 provider identifier assigned to Ellen Kenemore?
The Ellen Kenemore has been issued the NPI (National Provider Identifier) 1033253257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Ellen Kenemore located?
The Ellen Kenemore is located at 1609 Spencer Ave, Wilmette, IL 600912436.
What is Ellen Kenemore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellen Kenemore is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Ellen Kenemore receive its 1033253257 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Kenemore was assigned its 1033253257 on 2007-02-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ellen Kenemore's details last updated?
The information pertaining to the Ellen Kenemore, including its address, specialty, and other details, was most recently updated on 2019-10-23.