Dexter Jay Jefferson in San Pedro - Clinical
Dexter Jay Jefferson - NPI 1326177072
Dexter Jay Jefferson is a Clinical in San Pedro, California. Dexter Jay Jefferson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dexter Jay Jefferson is 1326177072. The last update date is 2023-08-10.
Dexter Jay Jefferson's current location address is Po Box 6362, San Pedro, California. You can contact this provider via phone number 3105934996. The mailing address for Dexter Jay Jefferson is Po Box 6362, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dexter Jay Jefferson |
|---|---|
| Address | Po Box 6362, San Pedro, California |
| Phone Number | 3105934996 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1326177072 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | Po Box 6362 |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907346362 |
| Phone Number | 3105934996 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 75049 |
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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 Dexter Jay Jefferson's unique identification number?
The Dexter Jay Jefferson has been assigned the NPI (National Provider Identifier) Number 1326177072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dexter Jay Jefferson is located?
The Dexter Jay Jefferson is situated at the following address: Po Box 6362, San Pedro, CA, 907346362.
What is Dexter Jay Jefferson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dexter Jay Jefferson'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 issue the 1326177072 to Dexter Jay Jefferson?
The Dexter Jay Jefferson received its 1326177072 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the Dexter Jay Jefferson's details last updated?
The information pertaining to the Dexter Jay Jefferson, including its address, specialty, and other details, was most recently updated on 2023-08-10.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC