Beth Jakubanis is a Clinical in Simi Valley, California. Beth Jakubanis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beth Jakubanis is 1700079191. The last update date is 2013-06-04.
Beth Jakubanis's current location address is 1611 E Los Angeles Ave, Simi Valley, California. You can contact this provider via phone number 8054438619. The mailing address for Beth Jakubanis is 1611 E Los Angeles Ave, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Jakubanis |
|---|---|
| Address | 1611 E Los Angeles Ave, Simi Valley, California |
| Phone Number | 8054438619 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700079191 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2013-06-04 |
Provider Mailing Address Detail
| Address | 1611 E Los Angeles Ave |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930652019 |
| Phone Number | 8054438619 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 28234 |
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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 unique 10-digit identification code issued to Beth Jakubanis by the Centers for Medicare & Medicaid Services?
The Beth Jakubanis has been assigned the NPI (National Provider Identifier) 1700079191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Beth Jakubanis located?
The Beth Jakubanis is located at 1611 E Los Angeles Ave, Simi Valley, CA 930652019.
What is the Beth Jakubanis's area of specialization and corresponding taxonomy classification?
The Beth Jakubanis's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700079191 to Beth Jakubanis?
The Centers for Medicare & Medicaid Services originally issued the 1700079191 to Beth Jakubanis on 2007-08-20.
As of what date were the Beth Jakubanis's details last updated?
The information pertaining to the Beth Jakubanis, including its address, specialty, and other details, was most recently updated on 2013-06-04.