Jennifer Mary Wixted in Sanford - Clinical
Jennifer Mary Wixted - NPI 1699963587
Jennifer Mary Wixted is a Clinical in Sanford, Florida. Jennifer Mary Wixted practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Mary Wixted is 1699963587. The last update date is 2016-03-18.
Jennifer Mary Wixted's current location address is 300 S Bay Ave, Sanford, Florida. You can contact this provider via phone number 4073214357 and fax number 4073249055. The mailing address for Jennifer Mary Wixted is 300 S Bay Ave, Sanford, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Mary Wixted |
|---|---|
| Address | 300 S Bay Ave, Sanford, Florida |
| Phone Number | 4073214357 |
| Fax Number | 4073249055 |
| Sole Proprietor | N |
| Credentials | LCSW, CAP |
NPI Number Detail
| NPI Number | 1699963587 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2016-03-18 |
Provider Mailing Address Detail
| Address | 300 S Bay Ave |
|---|---|
| City | Sanford |
| State | Florida (FL) |
| Post Code | 327712141 |
| Phone Number | 4073214357 |
| Fax Number | 4073249055 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW9852 |
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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 provider identifier assigned to Jennifer Mary Wixted?
The Jennifer Mary Wixted has been issued the NPI (National Provider Identifier) 1699963587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jennifer Mary Wixted's physical address?
The Jennifer Mary Wixted is physically located at 300 S Bay Ave, in the city of Sanford, FL, with the postal code 327712141.
What is the Jennifer Mary Wixted's area of specialization and corresponding taxonomy classification?
The Jennifer Mary Wixted's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer Mary Wixted receive the assignment of its 1699963587 from the Centers for Medicare & Medicaid Services?
The Jennifer Mary Wixted was issued its 1699963587 by the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the details related to Jennifer Mary Wixted most recently updated or revised?
The information pertaining to Jennifer Mary Wixted, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-18.