Peggy Ruth Payonk in Lake Station - Clinical
Peggy Ruth Payonk - NPI 1699776625
Peggy Ruth Payonk is a Clinical in Lake Station, Indiana. Peggy Ruth Payonk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peggy Ruth Payonk is 1699776625. The last update date is 2011-05-25.
Peggy Ruth Payonk's current location address is 2490 Central Ave, Lake Station, Indiana. You can contact this provider via phone number 2199624040 and fax number 2199604042. The mailing address for Peggy Ruth Payonk is 2490 Central Ave, Lake Station, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Ruth Payonk |
|---|---|
| Address | 2490 Central Ave, Lake Station, Indiana |
| Phone Number | 2199624040 |
| Fax Number | 2199604042 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699776625 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2011-05-25 |
Provider Mailing Address Detail
| Address | 2490 Central Ave |
|---|---|
| City | Lake Station |
| State | Indiana (IN) |
| Post Code | 464052122 |
| Phone Number | 2199624040 |
| Fax Number | 2199604042 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004369A |
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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 Peggy Ruth Payonk's 1699776625?
The Peggy Ruth Payonk's NPI (National Provider Identifier) Number is 1699776625. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peggy Ruth Payonk located?
The Peggy Ruth Payonk is located at 2490 Central Ave, Lake Station, IN 464052122.
What is the area of specialization for Peggy Ruth Payonk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peggy Ruth Payonk is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699776625 to Peggy Ruth Payonk?
The Peggy Ruth Payonk received its 1699776625 assignment from the Centers for Medicare & Medicaid Services on 2005-08-01.
When was the Peggy Ruth Payonk's information last updated?
The Peggy Ruth Payonk's information was last updated on 2011-05-25.
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