Jodi Petchenik is a Clinical in Wilmette, Illinois. Jodi Petchenik practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jodi Petchenik is 1154488179. The last update date is 2017-12-12.
Jodi Petchenik's current location address is 2726 Hawthorn Ln, Wilmette, Illinois. You can contact this provider via phone number 8476504444. The mailing address for Jodi Petchenik is 2726 Hawthorn Ln, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Petchenik |
|---|---|
| Address | 2726 Hawthorn Ln, Wilmette, Illinois |
| Phone Number | 8476504444 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W., L. |
NPI Number Detail
| NPI Number | 1154488179 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2017-12-12 |
Provider Mailing Address Detail
| Address | 2726 Hawthorn Ln |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600912140 |
| Phone Number | 8476504444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010494 |
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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 identifier code issued to Jodi Petchenik by the Centers for Medicare & Medicaid Services?
The Jodi Petchenik has been assigned the NPI (National Provider Identifier) 1154488179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jodi Petchenik is physically located?
The Jodi Petchenik is situated at the following address: 2726 Hawthorn Ln, Wilmette, IL 600912140.
What is the Jodi Petchenik's specialty and taxonomy code?
The Jodi Petchenik's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jodi Petchenik receive its 1154488179 assignment from the Centers for Medicare & Medicaid Services?
The Jodi Petchenik was assigned its 1154488179 by the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information regarding Jodi Petchenik most recently updated?
The details pertaining to the Jodi Petchenik, including its address, specialty, and other relevant information, were last refreshed on 2017-12-12.
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