Jennifer Bradstreet in Jacksonville - Clinical
Jennifer Bradstreet - NPI 1396938510
Jennifer Bradstreet is a Clinical in Jacksonville, Florida. Jennifer Bradstreet practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Bradstreet is 1396938510. The last update date is 2020-09-01.
Jennifer Bradstreet's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Jennifer Bradstreet is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Bradstreet |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1396938510 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW10427 |
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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 unique identifier code issued to Jennifer Bradstreet by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Bradstreet has been assigned the NPI (National Provider Identifier) 1396938510. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jennifer Bradstreet located?
The Jennifer Bradstreet is located at 4500 San Pablo Rd S, Jacksonville, FL 322241865.
What is the Jennifer Bradstreet's area of specialization and corresponding taxonomy classification?
The Jennifer Bradstreet's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1396938510 assigned to Jennifer Bradstreet?
The Jennifer Bradstreet was issued its 1396938510 on 2007-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jennifer Bradstreet's information last updated?
The Jennifer Bradstreet's information was last updated on 2020-09-01.