Jason Wayne Forquer in Luke Afb - Clinical
Jason Wayne Forquer - NPI 1912072463
Jason Wayne Forquer is a Clinical in Luke Afb, Arizona. Jason Wayne Forquer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason Wayne Forquer is 1912072463. The last update date is 2023-06-21.
Jason Wayne Forquer's current location address is 7219 N Litchfield Rd, Luke Afb, Arizona. You can contact this provider via phone number 6238567579 and fax number 6238564433. The mailing address for Jason Wayne Forquer is 7219 N Litchfield Rd, Luke Afb, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Wayne Forquer |
|---|---|
| Address | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Phone Number | 6238567579 |
| Fax Number | 6238564433 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912072463 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2023-06-21 |
Provider Mailing Address Detail
| Address | 7219 N Litchfield Rd |
|---|---|
| City | Luke Afb |
| State | Arizona (AZ) |
| Post Code | 853091529 |
| Phone Number | 6238567579 |
| Fax Number | 6238564433 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-19853 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason Wayne Forquer by the Centers for Medicare & Medicaid Services?
The Jason Wayne Forquer has been issued the NPI (National Provider Identifier) 1912072463 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jason Wayne Forquer is physically located?
The Jason Wayne Forquer is physically situated at the following address: 7219 N Litchfield Rd, Luke Afb, AZ, 853091529.
What is the area of specialization for Jason Wayne Forquer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason Wayne Forquer is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Jason Wayne Forquer's 1912072463 issued?
The Jason Wayne Forquer's 1912072463 was issued on 2006-11-21.
When was the information regarding Jason Wayne Forquer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Wayne Forquer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-21.