Jeremy Michael Wooldridge in Jonesboro - Clinical
Jeremy Michael Wooldridge - NPI 1922275213
Jeremy Michael Wooldridge is a Clinical in Jonesboro, Arkansas. Jeremy Michael Wooldridge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeremy Michael Wooldridge is 1922275213. The last update date is 2022-01-19.
Jeremy Michael Wooldridge's current location address is 6009 Cw Post Rd, Jonesboro, Arkansas. You can contact this provider via phone number 8709320228 and fax number 8709105689. The mailing address for Jeremy Michael Wooldridge is 6009 Cw Post Rd, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Michael Wooldridge |
|---|---|
| Address | 6009 Cw Post Rd, Jonesboro, Arkansas |
| Phone Number | 8709320228 |
| Fax Number | 8709105689 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1922275213 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
| Address | 6009 Cw Post Rd |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 72401 |
| Phone Number | 8709320228 |
| Fax Number | 8709105689 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6273-C |
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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 |
|---|---|---|---|
| 5DD43 | AR | BCBS | |
| 169561795 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Michael Wooldridge by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy Michael Wooldridge has been assigned the NPI (National Provider Identifier) 1922275213. 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 Jeremy Michael Wooldridge is geographically located?
The Jeremy Michael Wooldridge is physically situated at the following location: 6009 Cw Post Rd, Jonesboro, AR, 72401.
What is the Jeremy Michael Wooldridge's specialty and taxonomy code?
The Jeremy Michael Wooldridge's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Jeremy Michael Wooldridge receive its 1922275213?
The Jeremy Michael Wooldridge was issued its 1922275213 on 2008-05-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeremy Michael Wooldridge most recently updated?
The details pertaining to the Jeremy Michael Wooldridge, including its address, specialty, and other relevant information, were last refreshed on 2022-01-19.
NPI Number: 1336142389
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