Georgia Lorraine Jones in Chicago - Clinical

Georgia Lorraine Jones - NPI 1356365209

Georgia Lorraine Jones is a Clinical in Chicago, Illinois. Georgia Lorraine Jones practices all healthcare services and medical treatments related to Clinical. The NPI Number for Georgia Lorraine Jones is 1356365209. The last update date is 2011-12-22.

Georgia Lorraine Jones's current location address is 4737 N Clark St, Chicago, Illinois. You can contact this provider via phone number 7733689619. The mailing address for Georgia Lorraine Jones is 4737 N Clark St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Georgia Lorraine Jones
Address 4737 N Clark St, Chicago, Illinois
Phone Number 7733689619
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1356365209
Provider Enumeration Date 2006-07-26
Last Updated Date 2011-12-22

Provider Mailing Address Detail

Address 4737 N Clark St
City Chicago
State Illinois (IL)
Post Code 606407758
Phone Number 7733689619
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149011529
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
149011529 IL BLUE CROSS BLUE SHIELD

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FAQs about Georgia Lorraine Jones

What is the Georgia Lorraine Jones's 1356365209?

The Georgia Lorraine Jones's NPI (National Provider Identifier) Number is 1356365209. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Georgia Lorraine Jones is physically located?

The Georgia Lorraine Jones is physically situated at the following address: 4737 N Clark St, Chicago, IL, 606407758.

What is the Georgia Lorraine Jones's specialty and taxonomy code?

The Georgia Lorraine Jones's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Georgia Lorraine Jones receive the assignment of its 1356365209 from the Centers for Medicare & Medicaid Services?

The Georgia Lorraine Jones was issued its 1356365209 by the Centers for Medicare & Medicaid Services on 2006-07-26.

As of what date was the information pertaining to Georgia Lorraine Jones, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Georgia Lorraine Jones, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-22.

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