Polly A. Charette in Jacksonville - Clinical
Polly A. Charette - NPI 1740407428
Polly A. Charette is a Clinical in Jacksonville, Florida. Polly A. Charette practices all healthcare services and medical treatments related to Clinical. The NPI Number for Polly A. Charette is 1740407428. The last update date is 2020-01-03.
Polly A. Charette's current location address is 8825 Perimeter Park Blvd Ste 601, Jacksonville, Florida. You can contact this provider via phone number 9044197327. The mailing address for Polly A. Charette is 8825 Perimeter Park Blvd Ste 601, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Polly A. Charette |
|---|---|
| Address | 8825 Perimeter Park Blvd Ste 601, Jacksonville, Florida |
| Phone Number | 9044197327 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740407428 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-01-03 |
Provider Mailing Address Detail
| Address | 8825 Perimeter Park Blvd Ste 601 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322161122 |
| Phone Number | 9044197327 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003720 |
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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 10-digit identifier code issued to Polly A. Charette by the Centers for Medicare & Medicaid Services?
The Polly A. Charette has been assigned the NPI (National Provider Identifier) 1740407428 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Polly A. Charette's physical address?
The Polly A. Charette is physically located at 8825 Perimeter Park Blvd Ste 601, in the city of Jacksonville, FL, with the postal code 322161122.
What is Polly A. Charette's area of expertise and its corresponding taxonomy classification?
The Polly A. Charette's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Polly A. Charette receive its 1740407428 assignment?
The Polly A. Charette was assigned its 1740407428 on 2007-04-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Polly A. Charette most recently updated or revised?
The information pertaining to Polly A. Charette, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-03.