Connie Jeanne Cecil in Saint Clair Shores - Clinical

Connie Jeanne Cecil - NPI 1154447670

Connie Jeanne Cecil is a Clinical in Saint Clair Shores, Michigan. Connie Jeanne Cecil practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie Jeanne Cecil is 1154447670. The last update date is 2007-07-08.

Connie Jeanne Cecil's current location address is 25401 Harper Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5864666612 and fax number 5864666961. The mailing address for Connie Jeanne Cecil is 25401 Harper Ave, Saint Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Connie Jeanne Cecil
Address 25401 Harper Ave, Saint Clair Shores, Michigan
Phone Number 5864666612
Fax Number 5864666961
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1154447670
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 25401 Harper Ave
City Saint Clair Shores
State Michigan (MI)
Post Code 480812240
Phone Number 5864666612
Fax Number 5864666961

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6301011985
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
6301011985 MI SOCIAL WORK LICENSE

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FAQs about Connie Jeanne Cecil

What is the unique 10-digit identifier code issued to Connie Jeanne Cecil by the Centers for Medicare & Medicaid Services?

The Connie Jeanne Cecil has been assigned the NPI (National Provider Identifier) 1154447670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Connie Jeanne Cecil is physically located?

The Connie Jeanne Cecil is physically situated at the following address: 25401 Harper Ave, Saint Clair Shores, MI, 480812240.

What is the Connie Jeanne Cecil's specialty and taxonomy code?

The Connie Jeanne Cecil's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date was the 1154447670 assigned to Connie Jeanne Cecil?

The Connie Jeanne Cecil was issued its 1154447670 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Connie Jeanne Cecil, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Connie Jeanne Cecil, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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