Jacqueline Bohanske in Phoenix - Clinical
Jacqueline Bohanske - NPI 1922151992
Jacqueline Bohanske is a Clinical in Phoenix, Arizona. Jacqueline Bohanske practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Bohanske is 1922151992. The last update date is 2019-12-18.
Jacqueline Bohanske's current location address is 4050 E Greenway Rd, Phoenix, Arizona. You can contact this provider via phone number 6028674064 and fax number 6028671827. The mailing address for Jacqueline Bohanske is 4050 E Greenway Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacqueline Bohanske |
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Address | 4050 E Greenway Rd, Phoenix, Arizona |
Phone Number | 6028674064 |
Fax Number | 6028671827 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1922151992 |
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Provider Enumeration Date | 2007-01-20 |
Last Updated Date | 2019-12-18 |
Provider Mailing Address Detail
Address | 4050 E Greenway Rd |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850324700 |
Phone Number | 6028674064 |
Fax Number | 6028671827 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-1395 |
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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What is the unique provider identifier assigned to Jacqueline Bohanske?
The Jacqueline Bohanske has been issued the NPI (National Provider Identifier) 1922151992 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jacqueline Bohanske?
The Jacqueline Bohanske is situated at 4050 E Greenway Rd, in the city of Phoenix, state of AZ, with the zip code 850324700.
What is the Jacqueline Bohanske's specialty and taxonomy code?
The Jacqueline Bohanske's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jacqueline Bohanske receive the assignment of its 1922151992 from the Centers for Medicare & Medicaid Services?
The Jacqueline Bohanske was issued its 1922151992 by the Centers for Medicare & Medicaid Services on 2007-01-20.
As of what date were the Jacqueline Bohanske's details last updated?
The information pertaining to the Jacqueline Bohanske, including its address, specialty, and other details, was most recently updated on 2019-12-18.