Jaclynn I Faffer in Naples - Clinical

Jaclynn I Faffer - NPI 1104881846

Jaclynn I Faffer is a Clinical in Naples, Florida. Jaclynn I Faffer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jaclynn I Faffer is 1104881846. The last update date is 2011-08-19.

Jaclynn I Faffer's current location address is 4719 Kittiwake Ct, Naples, Florida. You can contact this provider via phone number 2394317709 and fax number 2394317713. The mailing address for Jaclynn I Faffer is 4719 Kittiwake Ct, Naples, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaclynn I Faffer
Address 4719 Kittiwake Ct, Naples, Florida
Phone Number 2394317709
Fax Number 2394317713
Sole Proprietor Y
Credentials DSW; LCSW

NPI Number Detail

NPI Number 1104881846
Provider Enumeration Date 2006-04-18
Last Updated Date 2011-08-19

Provider Mailing Address Detail

Address 4719 Kittiwake Ct
City Naples
State Florida (FL)
Post Code 341198864
Phone Number 2394317709
Fax Number 2394317713

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW5516
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98800 FL BCBS GROUP NUMBER

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FAQs about Jaclynn I Faffer

What is the unique identification code assigned to Jaclynn I Faffer by the Centers for Medicare & Medicaid Services?

The Jaclynn I Faffer has been issued the NPI (National Provider Identifier) 1104881846. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jaclynn I Faffer is located?

The Jaclynn I Faffer is situated at the following address: 4719 Kittiwake Ct, Naples, FL, 341198864.

What is Jaclynn I Faffer's area of expertise and its corresponding taxonomy classification?

The Jaclynn I Faffer's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1104881846 assigned to Jaclynn I Faffer?

The Jaclynn I Faffer was issued its 1104881846 on 2006-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jaclynn I Faffer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jaclynn I Faffer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-19.

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