Kendra Jackimczyk is a Clinical in Mesa, Arizona. Kendra Jackimczyk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kendra Jackimczyk is 1780732990. The last update date is 2019-02-15.
Kendra Jackimczyk's current location address is 7364 E Nopal Ave, Mesa, Arizona. You can contact this provider via phone number 4804957979. The mailing address for Kendra Jackimczyk is 7364 E Nopal Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Jackimczyk |
|---|---|
| Address | 7364 E Nopal Ave, Mesa, Arizona |
| Phone Number | 4804957979 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780732990 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2019-02-15 |
Provider Mailing Address Detail
| Address | 7364 E Nopal Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852097220 |
| Phone Number | 4804957979 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-10166 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 687296 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kendra Jackimczyk by the Centers for Medicare & Medicaid Services (CMS)?
The Kendra Jackimczyk has been assigned the NPI (National Provider Identifier) 1780732990. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kendra Jackimczyk is geographically located?
The Kendra Jackimczyk is physically situated at the following location: 7364 E Nopal Ave, Mesa, AZ, 852097220.
What is Kendra Jackimczyk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kendra Jackimczyk is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780732990 to Kendra Jackimczyk?
The Kendra Jackimczyk received its 1780732990 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information regarding Kendra Jackimczyk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kendra Jackimczyk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-15.