Ann K O'Klock in Davenport - Clinical

Ann K O'Klock - NPI 1588657316

Ann K O'Klock is a Clinical in Davenport, Iowa. Ann K O'Klock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ann K O'Klock is 1588657316. The last update date is 2022-08-12.

Ann K O'Klock's current location address is 4455 E 56th St, Davenport, Iowa. You can contact this provider via phone number 5633552577 and fax number 5633554015. The mailing address for Ann K O'Klock is 4455 E 56th St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Ann K O'Klock
Address 4455 E 56th St, Davenport, Iowa
Phone Number 5633552577
Fax Number 5633554015
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1588657316
Provider Enumeration Date 2005-08-26
Last Updated Date 2022-08-12

Provider Mailing Address Detail

Address 4455 E 56th St
City Davenport
State Iowa (IA)
Post Code 528072995
Phone Number 5633552577
Fax Number 5633554015

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149002121
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
99089 IL BLUE CROSS IOWA NUMBER
581744 IL --
149002121 IL BLUE CROSS ILLINOIS NUMBE
IL01E1 IL JOHN DEERE PROVIDER NUMBE

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FAQs about Ann K O'Klock

What is the unique 10-digit identifier code assigned to Ann K O'Klock by the Centers for Medicare & Medicaid Services?

The Ann K O'Klock has been issued the NPI (National Provider Identifier) 1588657316 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Ann K O'Klock is geographically located?

The Ann K O'Klock is physically situated at the following location: 4455 E 56Th St, Davenport, IA, 528072995.

What is Ann K O'Klock's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ann K O'Klock's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did Ann K O'Klock receive its 1588657316 assignment from the Centers for Medicare & Medicaid Services?

The Ann K O'Klock was assigned its 1588657316 on 2005-08-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ann K O'Klock most recently updated?

The details pertaining to the Ann K O'Klock, including its address, specialty, and other relevant information, were last refreshed on 2022-08-12.

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