Judith Anne Peelle is a Clinical in Allegan, Michigan. Judith Anne Peelle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Anne Peelle is 1487653465. The last update date is 2008-09-17.
Judith Anne Peelle's current location address is 3855 Forest Trl, Allegan, Michigan. You can contact this provider via phone number 2693556089. The mailing address for Judith Anne Peelle is 3855 Forest Trl, Allegan, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Anne Peelle |
|---|---|
| Address | 3855 Forest Trl, Allegan, Michigan |
| Phone Number | 2693556089 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1487653465 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2008-09-17 |
Provider Mailing Address Detail
| Address | 3855 Forest Trl |
|---|---|
| City | Allegan |
| State | Michigan (MI) |
| Post Code | 490109465 |
| Phone Number | 2693556089 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801068379 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68379 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Judith Anne Peelle by the Centers for Medicare & Medicaid Services?
The Judith Anne Peelle has been assigned the NPI (National Provider Identifier) 1487653465. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith Anne Peelle is physically located?
The Judith Anne Peelle is situated at the following address: 3855 Forest Trl, Allegan, MI 490109465.
What is Judith Anne Peelle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Anne Peelle's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Judith Anne Peelle receive its 1487653465 assignment from the Centers for Medicare & Medicaid Services?
The Judith Anne Peelle was assigned its 1487653465 on 2005-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Judith Anne Peelle's information last updated?
The Judith Anne Peelle's information was last updated on 2008-09-17.