Ellie Suzanne Poulis in Chesterfield - Clinical
Ellie Suzanne Poulis - NPI 1427216225
Ellie Suzanne Poulis is a Clinical in Chesterfield, Missouri. Ellie Suzanne Poulis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellie Suzanne Poulis is 1427216225. The last update date is 2008-05-28.
Ellie Suzanne Poulis's current location address is 14377 Woodlake Dr, Chesterfield, Missouri. You can contact this provider via phone number 3145766493 and fax number 3145767319. The mailing address for Ellie Suzanne Poulis is 14377 Woodlake Dr, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellie Suzanne Poulis |
|---|---|
| Address | 14377 Woodlake Dr, Chesterfield, Missouri |
| Phone Number | 3145766493 |
| Fax Number | 3145767319 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1427216225 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 14377 Woodlake Dr |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630175735 |
| Phone Number | 3145766493 |
| Fax Number | 3145767319 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2007036195 |
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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 Ellie Suzanne Poulis's unique identification number?
The Ellie Suzanne Poulis has been assigned the NPI (National Provider Identifier) Number 1427216225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Ellie Suzanne Poulis's facilities are situated?
The facilities of Ellie Suzanne Poulis are physically located at the following address: 14377 Woodlake Dr, Chesterfield, MO, 630175735.
What is the Ellie Suzanne Poulis's area of specialization and corresponding taxonomy classification?
The Ellie Suzanne Poulis's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Ellie Suzanne Poulis receive its 1427216225 assignment from the Centers for Medicare & Medicaid Services?
The Ellie Suzanne Poulis was assigned its 1427216225 on 2008-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ellie Suzanne Poulis last refreshed?
The information related to the Ellie Suzanne Poulis, including its address, specialty, and other relevant details, was last updated on 2008-05-28.
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