Jeryl G Brown is a Clinical in West Hartford, Connecticut. Jeryl G Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeryl G Brown is 1417970310. The last update date is 2007-07-08.
Jeryl G Brown's current location address is 345 N Main St, West Hartford, Connecticut. You can contact this provider via phone number 8602339772 and fax number 8602369402. The mailing address for Jeryl G Brown is 345 N Main St, West Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeryl G Brown |
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Address | 345 N Main St, West Hartford, Connecticut |
Phone Number | 8602339772 |
Fax Number | 8602369402 |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1417970310 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 345 N Main St |
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City | West Hartford |
State | Connecticut (CT) |
Post Code | 61172515 |
Phone Number | 8602339772 |
Fax Number | 8602369402 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2857 |
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 Jeryl G Brown's unique identification number?
The Jeryl G Brown has been assigned the NPI (National Provider Identifier) Number 1417970310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jeryl G Brown's facilities are situated?
The facilities of Jeryl G Brown are physically located at the following address: 345 N Main St, West Hartford, CT, 61172515.
What is Jeryl G Brown's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeryl G Brown is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417970310 to Jeryl G Brown?
The Jeryl G Brown received its 1417970310 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information related to Jeryl G Brown most recently updated or refreshed?
The details pertaining to the Jeryl G Brown, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.