Jerri Lynn Frost is a Clinical in Ellabell, Georgia. Jerri Lynn Frost practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerri Lynn Frost is 1194865378. The last update date is 2016-08-20.
Jerri Lynn Frost's current location address is 9625 Highway 280 East, Ellabell, Georgia. You can contact this provider via phone number 7064902555. The mailing address for Jerri Lynn Frost is 9625 Highway 280 East, Ellabell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerri Lynn Frost |
|---|---|
| Address | 9625 Highway 280 East, Ellabell, Georgia |
| Phone Number | 7064902555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1194865378 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2016-08-20 |
Provider Mailing Address Detail
| Address | 9625 Highway 280 East |
|---|---|
| City | Ellabell |
| State | Georgia (GA) |
| Post Code | 313080958 |
| Phone Number | 7064902555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW 003122 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10045584 | GA | AMERIGROUP | |
| 312364857A | GA | -- | |
| 312364857B | GA | -- | |
| 729151-000 | GA | WELLCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerri Lynn Frost by the Centers for Medicare & Medicaid Services?
The Jerri Lynn Frost has been issued the NPI (National Provider Identifier) 1194865378 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerri Lynn Frost?
The Jerri Lynn Frost is situated at 9625 Highway 280 East, in the city of Ellabell, state of GA, with the zip code 313080958.
What is the Jerri Lynn Frost's area of specialization and corresponding taxonomy classification?
The Jerri Lynn Frost'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 Centers for Medicare & Medicaid Services issue the 1194865378 to Jerri Lynn Frost?
The Jerri Lynn Frost received its 1194865378 assignment from the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date was the information regarding Jerri Lynn Frost, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerri Lynn Frost, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-20.