Jennell Maze is a Clinical in Los Angeles, California. Jennell Maze practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennell Maze is 1114090701. The last update date is 2022-01-11.
Jennell Maze's current location address is 11080 W Olympic Blvd, Los Angeles, California. You can contact this provider via phone number 3109666656. The mailing address for Jennell Maze is 11080 W Olympic Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennell Maze |
|---|---|
| Address | 11080 W Olympic Blvd, Los Angeles, California |
| Phone Number | 3109666656 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114090701 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 11080 W Olympic Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900641937 |
| Phone Number | 3109666656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 26309 |
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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 10-digit identification code assigned to Jennell Maze by the Centers for Medicare & Medicaid Services?
The Jennell Maze has been issued the NPI (National Provider Identifier) 1114090701, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jennell Maze is geographically located?
The Jennell Maze is physically situated at the following location: 11080 W Olympic Blvd, Los Angeles, CA, 900641937.
What is the area of specialization for Jennell Maze, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennell Maze is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114090701 to Jennell Maze?
The Centers for Medicare & Medicaid Services originally issued the 1114090701 to Jennell Maze on 2006-11-15.
When was the Jennell Maze's information last updated?
The Jennell Maze's information was last updated on 2022-01-11.
NPI Number: 1063415297
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