Jennifer C Park is a Clinical in Sacramento, California. Jennifer C Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer C Park is 1174652192. The last update date is 2017-01-23.
Jennifer C Park's current location address is 6600 Bruceville Rd, Sacramento, California. You can contact this provider via phone number 9166882000. The mailing address for Jennifer C Park is 6600 Bruceville Rd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer C Park |
|---|---|
| Address | 6600 Bruceville Rd, Sacramento, California |
| Phone Number | 9166882000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174652192 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2017-01-23 |
Provider Mailing Address Detail
| Address | 6600 Bruceville Rd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958234671 |
| Phone Number | 9166882000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 Jennifer C Park's unique identification number?
The Jennifer C Park has been assigned the NPI (National Provider Identifier) Number 1174652192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jennifer C Park is geographically located?
The Jennifer C Park is physically situated at the following location: 6600 Bruceville Rd, Sacramento, CA, 958234671.
What is Jennifer C Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer C Park's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174652192 to Jennifer C Park?
The Centers for Medicare & Medicaid Services originally issued the 1174652192 to Jennifer C Park on 2007-03-05.
As of what date were the details related to Jennifer C Park most recently updated or revised?
The information pertaining to Jennifer C Park, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY