Judith Ellison is a Clinical in Saint Louis, Missouri. Judith Ellison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Ellison is 1861669566. The last update date is 2008-05-12.
Judith Ellison's current location address is 3738 Chouteau Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147728801 and fax number 3147727988. The mailing address for Judith Ellison is 3738 Chouteau Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Ellison |
|---|---|
| Address | 3738 Chouteau Ave, Saint Louis, Missouri |
| Phone Number | 3147728801 |
| Fax Number | 3147727988 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861669566 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 3738 Chouteau Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631102546 |
| Phone Number | 3147728801 |
| Fax Number | 3147727988 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5117 |
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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 unique 10-digit identification code issued to Judith Ellison by the Centers for Medicare & Medicaid Services?
The Judith Ellison has been assigned the NPI (National Provider Identifier) 1861669566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Judith Ellison?
The Judith Ellison is situated at 3738 Chouteau Ave, in the city of Saint Louis, state of MO, with the zip code 631102546.
What is the Judith Ellison's area of specialization and corresponding taxonomy classification?
The Judith Ellison'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 the Centers for Medicare & Medicaid Services issue the 1861669566 to Judith Ellison?
The Judith Ellison received its 1861669566 assignment from the Centers for Medicare & Medicaid Services on 2008-05-12.
When was the Judith Ellison's information last updated?
The Judith Ellison's information was last updated on 2008-05-12.
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