Jacklyn J Montero in Lawrenceville - Clinical
Jacklyn J Montero - NPI 1063695757
Jacklyn J Montero is a Clinical in Lawrenceville, Georgia. Jacklyn J Montero practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacklyn J Montero is 1063695757. The last update date is 2007-12-17.
Jacklyn J Montero's current location address is 175 Gwinnett Dr, Lawrenceville, Georgia. You can contact this provider via phone number 7703395377 and fax number 7703395016. The mailing address for Jacklyn J Montero is 175 Gwinnett Dr, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklyn J Montero |
|---|---|
| Address | 175 Gwinnett Dr, Lawrenceville, Georgia |
| Phone Number | 7703395377 |
| Fax Number | 7703395016 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063695757 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 175 Gwinnett Dr |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300458444 |
| Phone Number | 7703395377 |
| Fax Number | 7703395016 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003864 |
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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 provider identifier assigned to Jacklyn J Montero?
The Jacklyn J Montero has been issued the NPI (National Provider Identifier) 1063695757 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 address where Jacklyn J Montero is geographically located?
The Jacklyn J Montero is physically situated at the following location: 175 Gwinnett Dr, Lawrenceville, GA, 300458444.
What is Jacklyn J Montero's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacklyn J Montero's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Jacklyn J Montero receive its 1063695757?
The Jacklyn J Montero was issued its 1063695757 on 2007-12-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jacklyn J Montero last refreshed?
The information related to the Jacklyn J Montero, including its address, specialty, and other relevant details, was last updated on 2007-12-17.
NPI Number: 1528061793
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