Julia Tillie is a Clinical in Fort Worth, Texas. Julia Tillie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julia Tillie is 1720028590. The last update date is 2012-01-31.
Julia Tillie's current location address is Po Box 2603, Fort Worth, Texas. You can contact this provider via phone number 8175694913 and fax number 8175695098. The mailing address for Julia Tillie is Po Box 2603, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Tillie |
|---|---|
| Address | Po Box 2603, Fort Worth, Texas |
| Phone Number | 8175694913 |
| Fax Number | 8175695098 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1720028590 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2012-01-31 |
Provider Mailing Address Detail
| Address | Po Box 2603 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761132603 |
| Phone Number | 8175694913 |
| Fax Number | 8175695098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 42040 |
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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 |
|---|---|---|---|
| 181236401 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Julia Tillie by the Centers for Medicare & Medicaid Services?
The Julia Tillie has been issued the NPI (National Provider Identifier) 1720028590. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Julia Tillie?
The Julia Tillie is physically situated at Po Box 2603, in the city of Fort Worth, state of TX, with the postal code 761132603.
What is the Julia Tillie's specialty and taxonomy code?
The Julia Tillie's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720028590 to Julia Tillie?
The Centers for Medicare & Medicaid Services originally issued the 1720028590 to Julia Tillie on 2006-06-08.
As of what date was the information pertaining to Julia Tillie, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Julia Tillie, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-31.
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