Jean Maire Ertl is a Clinical in San Diego, California. Jean Maire Ertl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean Maire Ertl is 1407862436. The last update date is 2007-07-08.
Jean Maire Ertl's current location address is 8810 Rio San Diego Dr, San Diego, California. You can contact this provider via phone number 6194005181 and fax number 6194005154. The mailing address for Jean Maire Ertl is 8810 Rio San Diego Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Maire Ertl |
|---|---|
| Address | 8810 Rio San Diego Dr, San Diego, California |
| Phone Number | 6194005181 |
| Fax Number | 6194005154 |
| Sole Proprietor | Y |
| Credentials | LCSW, ACSW |
NPI Number Detail
| NPI Number | 1407862436 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8810 Rio San Diego Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921081622 |
| Phone Number | 6194005181 |
| Fax Number | 6194005154 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS13029 |
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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 provider identifier assigned to Jean Maire Ertl?
The Jean Maire Ertl has been issued the NPI (National Provider Identifier) 1407862436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jean Maire Ertl is geographically located?
The Jean Maire Ertl is physically situated at the following location: 8810 Rio San Diego Dr, San Diego, CA, 921081622.
What is the Jean Maire Ertl's specialty and taxonomy code?
The Jean Maire Ertl's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407862436 to Jean Maire Ertl?
The Centers for Medicare & Medicaid Services originally issued the 1407862436 to Jean Maire Ertl on 2006-07-31.
When was the information regarding Jean Maire Ertl, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jean Maire Ertl, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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