Jennifer A Blakeslee in Middletown - Clinical
Jennifer A Blakeslee - NPI 1902077878
Jennifer A Blakeslee is a Clinical in Middletown, Connecticut. Jennifer A Blakeslee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer A Blakeslee is 1902077878. The last update date is 2008-03-18.
Jennifer A Blakeslee's current location address is 28 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603583401 and fax number 8603583403. The mailing address for Jennifer A Blakeslee is 28 Crescent St, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer A Blakeslee |
|---|---|
| Address | 28 Crescent St, Middletown, Connecticut |
| Phone Number | 8603583401 |
| Fax Number | 8603583403 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902077878 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 28 Crescent St |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 6457 |
| Phone Number | 8603583401 |
| Fax Number | 8603583403 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6611 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6611 | CT | LCSW LIC # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer A Blakeslee by the Centers for Medicare & Medicaid Services?
The Jennifer A Blakeslee has been issued the NPI (National Provider Identifier) 1902077878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jennifer A Blakeslee is physically located?
The Jennifer A Blakeslee is situated at the following address: 28 Crescent St, Middletown, CT 6457.
What is Jennifer A Blakeslee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer A Blakeslee is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Jennifer A Blakeslee receive its 1902077878 assignment?
The Jennifer A Blakeslee was assigned its 1902077878 on 2008-03-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Jennifer A Blakeslee's details last updated?
The information pertaining to the Jennifer A Blakeslee, including its address, specialty, and other details, was most recently updated on 2008-03-18.
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