Lauran Jacks is a Clinical in Lone Tree, Colorado. Lauran Jacks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lauran Jacks is 1093855090. The last update date is 2017-03-20.
Lauran Jacks's current location address is 8618 Colonial Dr, Lone Tree, Colorado. You can contact this provider via phone number 3039411325 and fax number 3039870424. The mailing address for Lauran Jacks is 8618 Colonial Dr, Lone Tree, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lauran Jacks |
|---|---|
| Address | 8618 Colonial Dr, Lone Tree, Colorado |
| Phone Number | 3039411325 |
| Fax Number | 3039870424 |
| Sole Proprietor | Y |
| Credentials | LCSW, PSYD |
NPI Number Detail
| NPI Number | 1093855090 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2017-03-20 |
Provider Mailing Address Detail
| Address | 8618 Colonial Dr |
|---|---|
| City | Lone Tree |
| State | Colorado (CO) |
| Post Code | 801249743 |
| Phone Number | 3039411325 |
| Fax Number | 3039870424 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 992853 |
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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 provider identifier assigned to Lauran Jacks?
The Lauran Jacks has been issued the NPI (National Provider Identifier) 1093855090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lauran Jacks is physically located?
The Lauran Jacks is situated at the following address: 8618 Colonial Dr, Lone Tree, CO 801249743.
What is Lauran Jacks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lauran Jacks'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 assign the 1093855090 to Lauran Jacks?
The Centers for Medicare & Medicaid Services assigned the 1093855090 to Lauran Jacks on 2007-02-07.
As of what date was the information regarding Lauran Jacks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lauran Jacks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-20.
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