John Reilly is a Clinical in Minneapolis, Minnesota. John Reilly practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Reilly is 1578661419. The last update date is 2022-07-21.
John Reilly's current location address is 4123 E Lake St, Minneapolis, Minnesota. You can contact this provider via phone number 6127282061. The mailing address for John Reilly is 4123 E Lake St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Reilly |
|---|---|
| Address | 4123 E Lake St, Minneapolis, Minnesota |
| Phone Number | 6127282061 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1578661419 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4123 E Lake St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554062255 |
| Phone Number | 6127282061 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 788 |
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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 |
|---|---|---|---|
| 354557100 | MN | -- |
Post Comment/ Review Below
What is the John Reilly's unique identification number?
The John Reilly has been assigned the NPI (National Provider Identifier) Number 1578661419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the John Reilly located?
The John Reilly is located at 4123 E Lake St, Minneapolis, MN 554062255.
What is John Reilly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Reilly is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578661419 to John Reilly?
The Centers for Medicare & Medicaid Services assigned the 1578661419 to John Reilly on 2006-09-21.
When was the information related to John Reilly most recently updated or refreshed?
The details pertaining to the John Reilly, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.