Enervold, Madeline Rose
Enervold, Madeline Rose is an individual health care provider with primary practice located at 1401 Lakewood Dr Ste A , Morris IL 60450-3352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Enervold, Madeline Rose can be contacted via phone (815) 942-6323.Contact Information
Primary practice address
1401 Lakewood Dr Ste A
Morris IL 60450-3352
Phone: (815) 942-6323
Fax: (815) 941-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.023978 | Illinois |
Profile Details
| NPI number | 1528656147 |
|---|---|
| LBN Legal business name | Enervold, Madeline Rose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Nov 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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