MR. Charles Russell Kerwin LCSW, CADC

  • NPI 1063706497
According to our database, the NPI number for MR. Charles Russell Kerwin LCSW, CADC is 1063706497 and activated since 12 years ago. MR. Charles Russell Kerwin LCSW, CADC is an individual provider who specializes in Clinical, and the primary practice location is 1770 Elake Shore Dr, Decatur, IL 62521. You can also contact MR. Charles Russell Kerwin LCSW, CADC via telephone number is (217) 428-1900. Provider NPI information was last updated on 06/02/2011.

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Overview of MR. Charles Russell Kerwin LCSW, CADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/02/2011
  • Last updated: 06/02/2011

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149.014464
  • License State: IL

Provider Mailing Address

  • Address: 1770 East Lake Shore Dr
    Decatur, IL 62521
  • Phone: 217-428-1900
  • Fax:

Provider Practice Location

  • Address: 1770 Elake Shore Dr
    Decatur, IL 62521
  • Phone: 217-428-1900
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149.014464
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Charles Russell Kerwin LCSW, CADC?
  • A: The npi number for MR. Charles Russell Kerwin LCSW, CADC is 1063706497.
  • Q: What are MR. Charles Russell Kerwin LCSW, CADC's specialties?
  • A: MR. Charles Russell Kerwin LCSW, CADC's specialties are Clinical and different specialities.
  • Q: What is the medical license for MR. Charles Russell Kerwin LCSW, CADC?
  • A: The medical license number for MR. Charles Russell Kerwin LCSW, CADC is 149.014464 and issued in IL in USA.
  • Q: Where is MR. Charles Russell Kerwin LCSW, CADC practice location?
  • A: MR. Charles Russell Kerwin LCSW, CADC is practicing at 1770 Elake Shore Dr, Decatur, IL 62521.
  • Q: How to contact MR. Charles Russell Kerwin LCSW, CADC?
  • A: You can contact MR. Charles Russell Kerwin LCSW, CADC via 217-428-1900.
Medicare Specialty
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Sports Medicine
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