Willie Jackson in Jacksonville - Social Worker

Willie Jackson - NPI 1477687598

Willie Jackson is a Social Worker in Jacksonville, Florida. Willie Jackson practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Willie Jackson is 1477687598. The last update date is 2007-07-08.

Willie Jackson's current location address is 660 Park St, Jacksonville, Florida. You can contact this provider via phone number 9048996300 and fax number 9048996380. The mailing address for Willie Jackson is 660 Park St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Willie Jackson
Address 660 Park St, Jacksonville, Florida
Phone Number 9048996300
Fax Number 9048996380
Sole Proprietor N
Credentials BS

NPI Number Detail

NPI Number 1477687598
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 660 Park St
City Jacksonville
State Florida (FL)
Post Code 322042933
Phone Number 9048996300
Fax Number 9048996380

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
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 an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MH5303 FL COMM. BEHAVIORAL HEALTH

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FAQs about Willie Jackson

What is the unique identifier code issued to Willie Jackson by the Centers for Medicare & Medicaid Services?

The Willie Jackson has been assigned the NPI (National Provider Identifier) 1477687598. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Willie Jackson's facilities are situated?

The facilities of Willie Jackson are physically located at the following address: 660 Park St, Jacksonville, FL, 322042933.

What is the area of specialization for Willie Jackson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Willie Jackson is Social Worker, and the corresponding taxonomy code that categorizes this area of expertise is 104100000X.

When was the Willie Jackson's 1477687598 issued?

The Willie Jackson's 1477687598 was issued on 2007-03-14.

As of what date was the information pertaining to Willie Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Willie Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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