Jacqueline Louise Callis in Inglewood - Clinical
Jacqueline Louise Callis - NPI 1376622308
Jacqueline Louise Callis is a Clinical in Inglewood, California. Jacqueline Louise Callis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Louise Callis is 1376622308. The last update date is 2007-07-08.
Jacqueline Louise Callis's current location address is 229 Regent Cir, Inglewood, California. You can contact this provider via phone number 3106740797. The mailing address for Jacqueline Louise Callis is 229 Regent Cir, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Louise Callis |
|---|---|
| Address | 229 Regent Cir, Inglewood, California |
| Phone Number | 3106740797 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1376622308 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 229 Regent Cir |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903011323 |
| Phone Number | 3106740797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS18812 |
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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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What is the unique 10-digit identification code assigned to Jacqueline Louise Callis by the Centers for Medicare & Medicaid Services?
The Jacqueline Louise Callis has been issued the NPI (National Provider Identifier) 1376622308, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacqueline Louise Callis?
The Jacqueline Louise Callis is situated at 229 Regent Cir, in the city of Inglewood, state of CA, with the zip code 903011323.
What is the Jacqueline Louise Callis's specialty and taxonomy code?
The Jacqueline Louise Callis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Jacqueline Louise Callis's 1376622308 issued?
The Jacqueline Louise Callis's 1376622308 was issued on 2006-11-02.
When was the information related to Jacqueline Louise Callis most recently updated or refreshed?
The details pertaining to the Jacqueline Louise Callis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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