Jessica Waggoner is a Clinical in Windsor, Connecticut. Jessica Waggoner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Waggoner is 1104932938. The last update date is 2007-07-09.
Jessica Waggoner's current location address is 995 Day Hill Rd, Windsor, Connecticut. You can contact this provider via phone number 8606463888 and fax number 8606454132. The mailing address for Jessica Waggoner is 995 Day Hill Rd, Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica Waggoner |
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Address | 995 Day Hill Rd, Windsor, Connecticut |
Phone Number | 8606463888 |
Fax Number | 8606454132 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1104932938 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 995 Day Hill Rd |
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City | Windsor |
State | Connecticut (CT) |
Post Code | 60951722 |
Phone Number | 8606463888 |
Fax Number | 8606454132 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6139 |
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 Jessica Waggoner?
The Jessica Waggoner has been issued the NPI (National Provider Identifier) 1104932938 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 physical address where Jessica Waggoner is located?
The Jessica Waggoner is situated at the following address: 995 Day Hill Rd, Windsor, CT, 60951722.
What is Jessica Waggoner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Waggoner is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Jessica Waggoner receive the assignment of its 1104932938 from the Centers for Medicare & Medicaid Services?
The Jessica Waggoner was issued its 1104932938 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information regarding Jessica Waggoner most recently updated?
The details pertaining to the Jessica Waggoner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.