Jaclyn Brunk is a Clinical in Libertyville, Illinois. Jaclyn Brunk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jaclyn Brunk is 1265513097. The last update date is 2018-08-10.
Jaclyn Brunk's current location address is 31480 N Us Highway 45, Libertyville, Illinois. You can contact this provider via phone number 8476802715 and fax number 8476803832. The mailing address for Jaclyn Brunk is 31480 N Us Highway 45, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Brunk |
|---|---|
| Address | 31480 N Us Highway 45, Libertyville, Illinois |
| Phone Number | 8476802715 |
| Fax Number | 8476803832 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265513097 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2018-08-10 |
Provider Mailing Address Detail
| Address | 31480 N Us Highway 45 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600489444 |
| Phone Number | 8476802715 |
| Fax Number | 8476803832 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010467 |
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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 |
|---|---|---|---|
| JB72430604P | IL | EARLY INTERVENTION |
Post Comment/ Review Below
What is the Jaclyn Brunk's 1265513097?
The Jaclyn Brunk's NPI (National Provider Identifier) Number is 1265513097. 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 physical location address of Jaclyn Brunk?
The Jaclyn Brunk is physically situated at 31480 N Us Highway 45, in the city of Libertyville, state of IL, with the postal code 600489444.
What is the area of specialization for Jaclyn Brunk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jaclyn Brunk is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265513097 to Jaclyn Brunk?
The Centers for Medicare & Medicaid Services originally issued the 1265513097 to Jaclyn Brunk on 2006-10-18.
When was the information related to Jaclyn Brunk most recently updated or refreshed?
The details pertaining to the Jaclyn Brunk, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-10.