Mcnelis, Anne Michelle

Mcnelis, Anne Michelle is an individual health care provider with primary practice located at 805 19Th St , Rock Island IL 61204. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mcnelis, Anne Michelle can be contacted via phone (309) 283-1201.

Contact Information

Primary practice address
805 19Th St Rock Island IL 61204
Phone: (309) 283-1201
Fax: (309) 793-9053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1225134778
LBN Legal business name Mcnelis, Anne Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1225134778 NPPES
Illinois MEDICAID 363153563004

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