Lara Polavieja is a Clinical in Plainfield, Illinois. Lara Polavieja practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lara Polavieja is 1801938253. The last update date is 2007-07-08.
Lara Polavieja's current location address is 13300 Division, Plainfield, Illinois. You can contact this provider via phone number 8155773666. The mailing address for Lara Polavieja is 13300 Division, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lara Polavieja |
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Address | 13300 Division, Plainfield, Illinois |
Phone Number | 8155773666 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1801938253 |
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Provider Enumeration Date | 2007-02-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13300 Division |
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City | Plainfield |
State | Illinois (IL) |
Post Code | 60585 |
Phone Number | 8155773666 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 assigned to Lara Polavieja by the Centers for Medicare & Medicaid Services?
The Lara Polavieja has been issued the NPI (National Provider Identifier) 1801938253, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lara Polavieja's facilities are geographically located?
The facilities of Lara Polavieja are physically situated at the following location: 13300 Division, Plainfield, IL, 60585.
What is Lara Polavieja's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lara Polavieja's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Lara Polavieja receive the assignment of its 1801938253 from the Centers for Medicare & Medicaid Services?
The Lara Polavieja was issued its 1801938253 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details related to Lara Polavieja most recently updated or revised?
The information pertaining to Lara Polavieja, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
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