Jackie Ann Ebbert is a Clinical in San Jose, California. Jackie Ann Ebbert practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jackie Ann Ebbert is 1033266796. The last update date is 2007-07-08.
Jackie Ann Ebbert's current location address is 175 Bernal Rd Ste 140, San Jose, California. You can contact this provider via phone number 4089723099. The mailing address for Jackie Ann Ebbert is 175 Bernal Rd Ste 140, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Ann Ebbert |
|---|---|
| Address | 175 Bernal Rd Ste 140, San Jose, California |
| Phone Number | 4089723099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033266796 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Bernal Rd Ste 140 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951191343 |
| Phone Number | 4089723099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS10717 |
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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 Jackie Ann Ebbert's unique identification number?
The Jackie Ann Ebbert has been assigned the NPI (National Provider Identifier) Number 1033266796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jackie Ann Ebbert's facilities are geographically located?
The facilities of Jackie Ann Ebbert are physically situated at the following location: 175 Bernal Rd Ste 140, San Jose, CA, 951191343.
What is Jackie Ann Ebbert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackie Ann Ebbert's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033266796 to Jackie Ann Ebbert?
The Centers for Medicare & Medicaid Services originally issued the 1033266796 to Jackie Ann Ebbert on 2007-01-04.
As of what date was the information pertaining to Jackie Ann Ebbert, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackie Ann Ebbert, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.