Kevin M. Jesse is a Clinical in Chicago, Illinois. Kevin M. Jesse practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin M. Jesse is 1700993193. The last update date is 2020-05-01.
Kevin M. Jesse's current location address is 9119 S Exchange Ave, Chicago, Illinois. You can contact this provider via phone number 7737685000. The mailing address for Kevin M. Jesse is 9119 S Exchange Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M. Jesse |
|---|---|
| Address | 9119 S Exchange Ave, Chicago, Illinois |
| Phone Number | 7737685000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700993193 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
| Address | 9119 S Exchange Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606174225 |
| Phone Number | 7737685000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149008884 |
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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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What is the unique 10-digit identification code issued to Kevin M. Jesse by the Centers for Medicare & Medicaid Services?
The Kevin M. Jesse has been assigned the NPI (National Provider Identifier) 1700993193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kevin M. Jesse's facilities are geographically located?
The facilities of Kevin M. Jesse are physically situated at the following location: 9119 S Exchange Ave, Chicago, IL, 606174225.
What is the Kevin M. Jesse's area of specialization and corresponding taxonomy classification?
The Kevin M. Jesse's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1700993193 assigned to Kevin M. Jesse?
The Kevin M. Jesse was issued its 1700993193 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kevin M. Jesse, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin M. Jesse, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-01.