Jennifer Debutts is a Clinical in Gilroy, California. Jennifer Debutts practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Debutts is 1902976962. The last update date is 2007-07-09.
Jennifer Debutts's current location address is 290 I O O F Ave, Gilroy, California. You can contact this provider via phone number 4088462171. The mailing address for Jennifer Debutts is 290 I O O F Ave, Gilroy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Debutts |
|---|---|
| Address | 290 I O O F Ave, Gilroy, California |
| Phone Number | 4088462171 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902976962 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 290 I O O F Ave |
|---|---|
| City | Gilroy |
| State | California (CA) |
| Post Code | 950205204 |
| Phone Number | 4088462171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 23844 |
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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 |
|---|---|---|---|
| 3993 | CA | -- |
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What is the unique 10-digit identifier code assigned to Jennifer Debutts by the Centers for Medicare & Medicaid Services?
The Jennifer Debutts has been issued the NPI (National Provider Identifier) 1902976962 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jennifer Debutts located?
The Jennifer Debutts is located at 290 I O O F Ave, Gilroy, CA 950205204.
What is the Jennifer Debutts's area of specialization and corresponding taxonomy classification?
The Jennifer Debutts's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer Debutts receive the assignment of its 1902976962 from the Centers for Medicare & Medicaid Services?
The Jennifer Debutts was issued its 1902976962 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details pertaining to Jennifer Debutts last refreshed?
The information related to the Jennifer Debutts, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1275535502
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