Julie Skodak is a Clinical in Springfield, Missouri. Julie Skodak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Skodak is 1023208964. The last update date is 2019-08-01.
Julie Skodak's current location address is 1300 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4172695400 and fax number 4172697212. The mailing address for Julie Skodak is 1300 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Skodak |
|---|---|
| Address | 1300 E Bradford Pkwy, Springfield, Missouri |
| Phone Number | 4172695400 |
| Fax Number | 4172697212 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1023208964 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
| Address | 1300 E Bradford Pkwy |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658044264 |
| Phone Number | 4172695400 |
| Fax Number | 4172697212 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2006038246 |
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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 |
|---|---|---|---|
| 12102456 | CAQH | ||
| 497387902 | MO | -- |
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What is the unique 10-digit identification code issued to Julie Skodak by the Centers for Medicare & Medicaid Services?
The Julie Skodak has been assigned the NPI (National Provider Identifier) 1023208964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Julie Skodak?
The Julie Skodak is physically situated at 1300 E Bradford Pkwy, in the city of Springfield, state of MO, with the postal code 658044264.
What is Julie Skodak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Julie Skodak is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023208964 to Julie Skodak?
The Julie Skodak received its 1023208964 assignment from the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the details pertaining to Julie Skodak last refreshed?
The information related to the Julie Skodak, including its address, specialty, and other relevant details, was last updated on 2019-08-01.
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