Jed E. Shafer is a Clinical in Ontario, California. Jed E. Shafer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jed E. Shafer is 1326161795. The last update date is 2012-10-18.
Jed E. Shafer's current location address is 855 N Euclid Ave, Ontario, California. You can contact this provider via phone number 9099832020 and fax number 9099836847. The mailing address for Jed E. Shafer is 855 N Euclid Ave, Ontario, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jed E. Shafer |
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Address | 855 N Euclid Ave, Ontario, California |
Phone Number | 9099832020 |
Fax Number | 9099836847 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1326161795 |
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Provider Enumeration Date | 2007-04-09 |
Last Updated Date | 2012-10-18 |
Provider Mailing Address Detail
Address | 855 N Euclid Ave |
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City | Ontario |
State | California (CA) |
Post Code | 917622762 |
Phone Number | 9099832020 |
Fax Number | 9099836847 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS9580 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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951946482 | CA | -- |
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What is the unique 10-digit identifier code assigned to Jed E. Shafer by the Centers for Medicare & Medicaid Services?
The Jed E. Shafer has been issued the NPI (National Provider Identifier) 1326161795 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jed E. Shafer located?
The Jed E. Shafer is located at 855 N Euclid Ave, Ontario, CA 917622762.
What is Jed E. Shafer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jed E. Shafer is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Jed E. Shafer receive the assignment of its 1326161795 from the Centers for Medicare & Medicaid Services?
The Jed E. Shafer was issued its 1326161795 by the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information regarding Jed E. Shafer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jed E. Shafer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-18.
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