1467753301 NPI number — ALMA ROSA FIGUEROA MSW LCSW

Table of content: ALMA ROSA FIGUEROA MSW LCSW (NPI 1467753301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467753301 NPI number — ALMA ROSA FIGUEROA MSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIGUEROA
Provider First Name:
ALMA
Provider Middle Name:
ROSA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467753301
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
203 N OTTAWA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOLIET
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60432-4006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-240-7011
Provider Business Mailing Address Fax Number:
815-730-4918

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2121 ONEIDA ST
Provider Second Line Business Practice Location Address:
304
Provider Business Practice Location Address City Name:
JOLIET
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60435-6544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-730-4891
Provider Business Practice Location Address Fax Number:
815-730-4918
Provider Enumeration Date:
11/09/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 149.015446 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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