Ellisha Michelle Jones in Pooler - Clinical
Ellisha Michelle Jones - NPI 1639274889
Ellisha Michelle Jones is a Clinical in Pooler, Georgia. Ellisha Michelle Jones practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellisha Michelle Jones is 1639274889. The last update date is 2018-10-04.
Ellisha Michelle Jones's current location address is 1018 Us Highway 80 W Ste 702, Pooler, Georgia. You can contact this provider via phone number 9123492969 and fax number 9123492983. The mailing address for Ellisha Michelle Jones is 1018 Us Highway 80 W Ste 702, Pooler, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellisha Michelle Jones |
|---|---|
| Address | 1018 Us Highway 80 W Ste 702, Pooler, Georgia |
| Phone Number | 9123492969 |
| Fax Number | 9123492983 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639274889 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2018-10-04 |
Provider Mailing Address Detail
| Address | 1018 Us Highway 80 W Ste 702 |
|---|---|
| City | Pooler |
| State | Georgia (GA) |
| Post Code | 313221606 |
| Phone Number | 9123492969 |
| Fax Number | 9123492983 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW004373 |
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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 |
|---|---|---|---|
| CSW004373 | GA | GA LINCESESTATE |
Post Comment/ Review Below
What is the unique identification code assigned to Ellisha Michelle Jones by the Centers for Medicare & Medicaid Services?
The Ellisha Michelle Jones has been issued the NPI (National Provider Identifier) 1639274889. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ellisha Michelle Jones is physically located?
The Ellisha Michelle Jones is physically situated at the following address: 1018 Us Highway 80 W Ste 702, Pooler, GA, 313221606.
What is Ellisha Michelle Jones's area of expertise and its corresponding taxonomy classification?
The Ellisha Michelle Jones's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Ellisha Michelle Jones receive its 1639274889 assignment from the Centers for Medicare & Medicaid Services?
The Ellisha Michelle Jones was assigned its 1639274889 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ellisha Michelle Jones's details last updated?
The information pertaining to the Ellisha Michelle Jones, including its address, specialty, and other details, was most recently updated on 2018-10-04.