Jill Gustafson is a Clinical in Diamond Springs, California. Jill Gustafson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Gustafson is 1427171099. The last update date is 2007-07-08.
Jill Gustafson's current location address is 493 Main St, Diamond Springs, California. You can contact this provider via phone number 5306448013. The mailing address for Jill Gustafson is 493 Main St, Diamond Springs, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Gustafson |
|---|---|
| Address | 493 Main St, Diamond Springs, California |
| Phone Number | 5306448013 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1427171099 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 493 Main St |
|---|---|
| City | Diamond Springs |
| State | California (CA) |
| Post Code | 956199173 |
| Phone Number | 5306448013 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15684 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jill Gustafson by the Centers for Medicare & Medicaid Services?
The Jill Gustafson has been assigned the NPI (National Provider Identifier) 1427171099. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jill Gustafson is physically located?
The Jill Gustafson is situated at the following address: 493 Main St, Diamond Springs, CA 956199173.
What is Jill Gustafson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jill Gustafson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427171099 to Jill Gustafson?
The Centers for Medicare & Medicaid Services assigned the 1427171099 to Jill Gustafson on 2007-04-09.
When was the Jill Gustafson's information last updated?
The Jill Gustafson's information was last updated on 2007-07-08.
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