Tanya M Jeckovich in Winter Haven - Clinical
Tanya M Jeckovich - NPI 1992913701
Tanya M Jeckovich is a Clinical in Winter Haven, Florida. Tanya M Jeckovich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tanya M Jeckovich is 1992913701. The last update date is 2018-05-09.
Tanya M Jeckovich's current location address is 2449 21st St Nw, Winter Haven, Florida. You can contact this provider via phone number 7178610701 and fax number 2705746443. The mailing address for Tanya M Jeckovich is 2449 21st St Nw, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya M Jeckovich |
|---|---|
| Address | 2449 21st St Nw, Winter Haven, Florida |
| Phone Number | 7178610701 |
| Fax Number | 2705746443 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992913701 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2018-05-09 |
Provider Mailing Address Detail
| Address | 2449 21st St Nw |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338813809 |
| Phone Number | 7178610701 |
| Fax Number | 2705746443 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 074598-1 |
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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 identifier code assigned to Tanya M Jeckovich by the Centers for Medicare & Medicaid Services?
The Tanya M Jeckovich has been issued the NPI (National Provider Identifier) 1992913701 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tanya M Jeckovich is physically located?
The Tanya M Jeckovich is physically situated at the following address: 2449 21St St Nw, Winter Haven, FL, 338813809.
What is the Tanya M Jeckovich's area of specialization and corresponding taxonomy classification?
The Tanya M Jeckovich'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 Tanya M Jeckovich receive its 1992913701 assignment from the Centers for Medicare & Medicaid Services?
The Tanya M Jeckovich was assigned its 1992913701 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tanya M Jeckovich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tanya M Jeckovich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-05-09.