Alison Beth Jedrick in Pooler - Clinical

Alison Beth Jedrick - NPI 1841484599

Alison Beth Jedrick is a Clinical in Pooler, Georgia. Alison Beth Jedrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alison Beth Jedrick is 1841484599. The last update date is 2018-11-13.

Alison Beth Jedrick's current location address is 135 W Tisbury Ln, Pooler, Georgia. You can contact this provider via phone number 7062241129 and fax number 7063837545. The mailing address for Alison Beth Jedrick is 135 W Tisbury Ln, Pooler, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Alison Beth Jedrick
Address 135 W Tisbury Ln, Pooler, Georgia
Phone Number 7062241129
Fax Number 7063837545
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1841484599
Provider Enumeration Date 2007-09-05
Last Updated Date 2018-11-13

Provider Mailing Address Detail

Address 135 W Tisbury Ln
City Pooler
State Georgia (GA)
Post Code 313228266
Phone Number 7062241129
Fax Number 7063837545

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CSW003513
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
628184094A GA --

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FAQs about Alison Beth Jedrick

What is the unique provider identifier assigned to Alison Beth Jedrick?

The Alison Beth Jedrick has been issued the NPI (National Provider Identifier) 1841484599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Alison Beth Jedrick's facilities are situated?

The facilities of Alison Beth Jedrick are physically located at the following address: 135 W Tisbury Ln, Pooler, GA, 313228266.

What is Alison Beth Jedrick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alison Beth Jedrick is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841484599 to Alison Beth Jedrick?

The Centers for Medicare & Medicaid Services originally issued the 1841484599 to Alison Beth Jedrick on 2007-09-05.

When was the information regarding Alison Beth Jedrick most recently updated?

The details pertaining to the Alison Beth Jedrick, including its address, specialty, and other relevant information, were last refreshed on 2018-11-13.

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