Jane A Peach is a Clinical in Indialantic, Florida. Jane A Peach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane A Peach is 1679639124. The last update date is 2009-12-08.
Jane A Peach's current location address is 170 White Ibis Ln, Indialantic, Florida. You can contact this provider via phone number 3218481971 and fax number 3217735479. The mailing address for Jane A Peach is 170 White Ibis Ln, Indialantic, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane A Peach |
|---|---|
| Address | 170 White Ibis Ln, Indialantic, Florida |
| Phone Number | 3218481971 |
| Fax Number | 3217735479 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679639124 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2009-12-08 |
Provider Mailing Address Detail
| Address | 170 White Ibis Ln |
|---|---|
| City | Indialantic |
| State | Florida (FL) |
| Post Code | 329032097 |
| Phone Number | 3218481971 |
| Fax Number | 3217735479 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9079 |
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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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What is the Jane A Peach's 1679639124?
The Jane A Peach's NPI (National Provider Identifier) Number is 1679639124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jane A Peach's facilities are situated?
The facilities of Jane A Peach are physically located at the following address: 170 White Ibis Ln, Indialantic, FL, 329032097.
What is the Jane A Peach's specialty and taxonomy code?
The Jane A Peach's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jane A Peach receive its 1679639124 assignment from the Centers for Medicare & Medicaid Services?
The Jane A Peach was assigned its 1679639124 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date were the Jane A Peach's details last updated?
The information pertaining to the Jane A Peach, including its address, specialty, and other details, was most recently updated on 2009-12-08.
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