Jeryl G Brown in West Hartford - Clinical

Jeryl G Brown - NPI 1417970310

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
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
Provider Enumeration Date 2006-07-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 345 N Main St
City West Hartford
State Connecticut (CT)
Post Code 61172515
Phone Number 8602339772
Fax Number 8602369402

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Jeryl G Brown

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.

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