Stacey Lynn Casanova in Jackson - Social Worker

Stacey Lynn Casanova - NPI 1750505855

Stacey Lynn Casanova is a Social Worker in Jackson, Michigan. Stacey Lynn Casanova practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Stacey Lynn Casanova is 1750505855. The last update date is 2010-06-23.

Stacey Lynn Casanova's current location address is 1200 N West Ave, Jackson, Michigan. You can contact this provider via phone number 5177803304 and fax number 5177871765. The mailing address for Stacey Lynn Casanova is 1200 N West Ave, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Lynn Casanova
Address 1200 N West Ave, Jackson, Michigan
Phone Number 5177803304
Fax Number 5177871765
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1750505855
Provider Enumeration Date 2007-04-12
Last Updated Date 2010-06-23

Provider Mailing Address Detail

Address 1200 N West Ave
City Jackson
State Michigan (MI)
Post Code 492022179
Phone Number 5177803304
Fax Number 5177871765

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 6801079359
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
6801079359 MI STATE SOCIAL WORK LICENSE

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FAQs about Stacey Lynn Casanova

What is the unique identifier code issued to Stacey Lynn Casanova by the Centers for Medicare & Medicaid Services?

The Stacey Lynn Casanova has been assigned the NPI (National Provider Identifier) 1750505855. 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 address where Stacey Lynn Casanova is geographically located?

The Stacey Lynn Casanova is physically situated at the following location: 1200 N West Ave, Jackson, MI, 492022179.

What is Stacey Lynn Casanova's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stacey Lynn Casanova's specialized field of practice is Social Worker, and the corresponding taxonomy code that categorizes this area of specialization is 104100000X.

On what date did Stacey Lynn Casanova receive its 1750505855 assignment from the Centers for Medicare & Medicaid Services?

The Stacey Lynn Casanova was assigned its 1750505855 on 2007-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Stacey Lynn Casanova, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stacey Lynn Casanova, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-23.

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