Kian Fay Jacobs is a Clinical in Ormond Beach, Florida. Kian Fay Jacobs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kian Fay Jacobs is 1992923635. The last update date is 2020-08-25.
Kian Fay Jacobs's current location address is 108 Timberline Trail, Ormond Beach, Florida. You can contact this provider via phone number 8608173175 and fax number 3862815091. The mailing address for Kian Fay Jacobs is 108 Timberline Trail, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kian Fay Jacobs |
|---|---|
| Address | 108 Timberline Trail, Ormond Beach, Florida |
| Phone Number | 8608173175 |
| Fax Number | 3862815091 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992923635 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-25 |
Provider Mailing Address Detail
| Address | 108 Timberline Trail |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321744925 |
| Phone Number | 8608173175 |
| Fax Number | 3862815091 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6388 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kian Fay Jacobs by the Centers for Medicare & Medicaid Services?
The Kian Fay Jacobs has been issued the NPI (National Provider Identifier) 1992923635, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kian Fay Jacobs?
The Kian Fay Jacobs is situated at 108 Timberline Trail, in the city of Ormond Beach, state of FL, with the zip code 321744925.
What is Kian Fay Jacobs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kian Fay Jacobs is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992923635 to Kian Fay Jacobs?
The Centers for Medicare & Medicaid Services assigned the 1992923635 to Kian Fay Jacobs on 2007-04-20.
As of what date was the information pertaining to Kian Fay Jacobs, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kian Fay Jacobs, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-25.
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