Jennifer Waldburger in Los Angeles - Clinical
Jennifer Waldburger - NPI 1124185095
Jennifer Waldburger is a Clinical in Los Angeles, California. Jennifer Waldburger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Waldburger is 1124185095. The last update date is 2007-07-08.
Jennifer Waldburger's current location address is 11645 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3105739474. The mailing address for Jennifer Waldburger is 11645 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Waldburger |
|---|---|
| Address | 11645 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3105739474 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124185095 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11645 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900251708 |
| Phone Number | 3105739474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22931 |
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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 Jennifer Waldburger by the Centers for Medicare & Medicaid Services?
The Jennifer Waldburger has been issued the NPI (National Provider Identifier) 1124185095, 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 Jennifer Waldburger?
The Jennifer Waldburger is situated at 11645 Wilshire Blvd, in the city of Los Angeles, state of CA, with the zip code 900251708.
What is the Jennifer Waldburger's area of specialization and corresponding taxonomy classification?
The Jennifer Waldburger'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 Centers for Medicare & Medicaid Services issue the 1124185095 to Jennifer Waldburger?
The Jennifer Waldburger received its 1124185095 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the Jennifer Waldburger's information last updated?
The Jennifer Waldburger's information was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY