Jennifer Lee Willis is a Clinical in Tempe, Arizona. Jennifer Lee Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Lee Willis is 1700032265. The last update date is 2017-04-23.
Jennifer Lee Willis's current location address is 1400 E. Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4808040326 and fax number 4808040083. The mailing address for Jennifer Lee Willis is 1400 E. Southern Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lee Willis |
|---|---|
| Address | 1400 E. Southern Ave, Tempe, Arizona |
| Phone Number | 4808040326 |
| Fax Number | 4808040083 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700032265 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2017-04-23 |
Provider Mailing Address Detail
| Address | 1400 E. Southern Ave |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852822692 |
| Phone Number | 4808040326 |
| Fax Number | 4808040083 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-12065 |
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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 |
|---|---|---|---|
| 734909 | AZ | -- |
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What is the unique identification code assigned to Jennifer Lee Willis by the Centers for Medicare & Medicaid Services?
The Jennifer Lee Willis has been issued the NPI (National Provider Identifier) 1700032265. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Lee Willis located?
The Jennifer Lee Willis is located at 1400 E. Southern Ave, Tempe, AZ 852822692.
What is Jennifer Lee Willis'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 Jennifer Lee Willis 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 1700032265 to Jennifer Lee Willis?
The Jennifer Lee Willis received its 1700032265 assignment from the Centers for Medicare & Medicaid Services on 2008-08-14.
As of what date was the information pertaining to Jennifer Lee Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Lee Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-23.
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