Jessaca J Wan is a Social Worker in Grand Rapids, Michigan. Jessaca J Wan practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Jessaca J Wan is 1437223401. The last update date is 2011-12-07.
Jessaca J Wan's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Jessaca J Wan is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessaca J Wan |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1437223401 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2011-12-07 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | 6801086286 |
|
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 |
|---|---|---|---|
| 38 2831313 | TOUCHSTONE ID # |
Post Comment/ Review Below
What is the Jessaca J Wan's 1437223401?
The Jessaca J Wan's NPI (National Provider Identifier) Number is 1437223401. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessaca J Wan's facilities are geographically located?
The facilities of Jessaca J Wan are physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is the area of specialization for Jessaca J Wan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessaca J Wan is Social Worker, and the corresponding taxonomy code that categorizes this area of expertise is 104100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437223401 to Jessaca J Wan?
The Centers for Medicare & Medicaid Services originally issued the 1437223401 to Jessaca J Wan on 2006-11-20.
As of what date was the information pertaining to Jessaca J Wan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jessaca J Wan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-07.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL