ANDREA TACK


Address: 3690 Laura Ln, Rockford, IL 61114-8179
Phone: 8155204145

ANDREA TACK (NPI# 1447706296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447706296
Entity Type Individual
Full Name ANDREA TACK
Practice Address 3690 Laura Ln
Rockford
IL 61114-8179
Mailing Address 123456 Main Street
Rockford
IL 61114-8179
Practice Telephone 8155204145
Enumeration Date 2016-08-31
Last Update Date 2017-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 150.015410 IL Behavioral Health & Social Service Providers

Office Location

Street Address 3690 LAURA LN
City ROCKFORD
State IL
Zip Code 61114-8179

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366064560 Caleb Ifeoluwa Oluwadamisi Student in an Organized Health Care Education/Training Program Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 2020-05-11
1811525959 Seifeldin Eid Student in an Organized Health Care Education/Training Program Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 2020-04-01
1073167664 Swedishamerican Hospital Internal Medicine 3505 N Bell School Road, Rockford, IL 61114 2019-07-31
1154980076 Anurag Gill Student in an Organized Health Care Education/Training Program 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 2019-06-13
1578121943 Sona Najafi Student in an Organized Health Care Education/Training Program Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 2019-05-31
1760045744 Julianna Jones Counselor 6653 Weaver Rd Ste 115, Rockford, IL 61114 2019-04-16
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1376029231 Meghan Beth Teske Chiropractor 3779 N. Alpine Rd., Rockfod, IL 61114 2018-07-13
1811401284 Summit Radiology, LLC Clinic/Center 3849 N. Perryville Road, Rockford, IL 61114 2017-11-21
1548704299 Rockford Orthopedic Associates, Ltd Durable Medical Equipment & Medical Supplies 5929 E Riverside Blvd, Rockford, IL 61114 2016-12-15
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881249621 Sonia Castaneda Social Worker 4920 E State St Ste B, Rockford, IL 61108-2272 2019-08-08
1386195436 Sara Wassenaar Social Worker 10060 Wolven Ave Ne, Rockford, MI 49341-9118 2016-10-24
1588015606 Chianta A. Jefferson Social Worker 335 Dawn Ave Apt 2, Rockford, IL 61107-5047 2016-06-30
1740635218 Karin K Leden Social Worker 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 2016-05-03
1285000893 Matthew Matheny Social Worker 514 1/2 Chestnut St, Rockford, IL 61102-2265 2015-08-18
1417338799 Latavia Shantaye Agada Social Worker 2823 Glenwood Ave., Rockford, IL 61101 2015-06-12
1912385568 Elizabeth A Lawson Social Worker 4320 Spring Creek Rd Ste 16, Rockford, IL 61107-1157 2015-05-15
1396138350 Jan Selander Social Worker 7294 Argus Dr, Rockford, IL 61107-5837 2015-03-13
1811266919 Brian Klaung Msw Inc Social Worker 6975 Redansa Drive, Rockford, IL 61108-1201 2011-12-19
1023154762 Daniel E Grohens Social Worker 6072 Brynwood Dr Ste 208, Rockford, IL 61114-5829 2007-01-29
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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