Jean M Mcnally is a Clinical in Clearlake, California. Jean M Mcnally practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean M Mcnally is 1215075015. The last update date is 2018-04-12.
Jean M Mcnally's current location address is 15230 Lakeshore Dr, Clearlake, California. You can contact this provider via phone number 7079954545. The mailing address for Jean M Mcnally is 15230 Lakeshore Dr, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jean M Mcnally |
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Address | 15230 Lakeshore Dr, Clearlake, California |
Phone Number | 7079954545 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1215075015 |
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Provider Enumeration Date | 2007-02-02 |
Last Updated Date | 2018-04-12 |
Provider Mailing Address Detail
Address | 15230 Lakeshore Dr |
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City | Clearlake |
State | California (CA) |
Post Code | 9542281070 |
Phone Number | 7079954545 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW79447 |
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 Jean M Mcnally's 1215075015?
The Jean M Mcnally's NPI (National Provider Identifier) Number is 1215075015. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jean M Mcnally's physical address?
The Jean M Mcnally is physically located at 15230 Lakeshore Dr, in the city of Clearlake, CA, with the postal code 9542281070.
What is the Jean M Mcnally's area of specialization and corresponding taxonomy classification?
The Jean M Mcnally's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Jean M Mcnally receive its 1215075015?
The Jean M Mcnally was issued its 1215075015 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jean M Mcnally last refreshed?
The information related to the Jean M Mcnally, including its address, specialty, and other relevant details, was last updated on 2018-04-12.