Carla Jensen is a Clinical in Boise, Idaho. Carla Jensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carla Jensen is 1023176708. The last update date is 2023-10-03.
Carla Jensen's current location address is 198 S Old Quarry Way, Boise, Idaho. You can contact this provider via phone number 2089140877 and fax number 2084298510. The mailing address for Carla Jensen is 198 S Old Quarry Way, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Jensen |
|---|---|
| Address | 198 S Old Quarry Way, Boise, Idaho |
| Phone Number | 2089140877 |
| Fax Number | 2084298510 |
| Sole Proprietor | Y |
| Credentials | PHD, LCSW |
NPI Number Detail
| NPI Number | 1023176708 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 198 S Old Quarry Way |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837090541 |
| Phone Number | 2089140877 |
| Fax Number | 2084298510 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-24629 |
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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 |
|---|---|---|---|
| L3928 | ID | BLUE CROSS OF IDAHO | |
| 10147740 | ID | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carla Jensen by the Centers for Medicare & Medicaid Services?
The Carla Jensen has been assigned the NPI (National Provider Identifier) 1023176708 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Carla Jensen's facilities are geographically located?
The facilities of Carla Jensen are physically situated at the following location: 198 S Old Quarry Way, Boise, ID, 837090541.
What is Carla Jensen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carla Jensen's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1023176708 assigned to Carla Jensen?
The Carla Jensen was issued its 1023176708 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Carla Jensen most recently updated or revised?
The details related to Carla Jensen, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-03.