Jason S Quintal is a Clinical in Bradenton, Florida. Jason S Quintal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason S Quintal is 1952315533. The last update date is 2012-09-25.
Jason S Quintal's current location address is 5460 Lena Road, Bradenton, Florida. You can contact this provider via phone number 9419070525 and fax number 9414622968. The mailing address for Jason S Quintal is 5460 Lena Road, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason S Quintal |
|---|---|
| Address | 5460 Lena Road, Bradenton, Florida |
| Phone Number | 9419070525 |
| Fax Number | 9414622968 |
| Sole Proprietor | N |
| Credentials | PHD, LCSW |
NPI Number Detail
| NPI Number | 1952315533 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
| Address | 5460 Lena Road |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342119500 |
| Phone Number | 9419070525 |
| Fax Number | 9414622968 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW6591 |
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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 |
|---|---|---|---|
| 270480117 | FL | MANATEE CHOICE | |
| 270480117 | FL | WEBTPA |
Post Comment/ Review Below
What is the unique identifier code issued to Jason S Quintal by the Centers for Medicare & Medicaid Services?
The Jason S Quintal has been assigned the NPI (National Provider Identifier) 1952315533. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason S Quintal?
The Jason S Quintal is situated at 5460 Lena Road, in the city of Bradenton, state of FL, with the zip code 342119500.
What is the Jason S Quintal's area of specialization and corresponding taxonomy classification?
The Jason S Quintal's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Jason S Quintal's 1952315533 issued?
The Jason S Quintal's 1952315533 was issued on 2006-07-28.
As of what date were the Jason S Quintal's details last updated?
The information pertaining to the Jason S Quintal, including its address, specialty, and other details, was most recently updated on 2012-09-25.