Jessica R Fogle in Indianapolis - Clinical

Jessica R Fogle - NPI 1609935253

Jessica R Fogle is a Clinical in Indianapolis, Indiana. Jessica R Fogle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica R Fogle is 1609935253. The last update date is 2009-10-20.

Jessica R Fogle's current location address is 1500 N Ritter Ave, Indianapolis, Indiana. You can contact this provider via phone number 3176217533. The mailing address for Jessica R Fogle is 1500 N Ritter Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica R Fogle
Address 1500 N Ritter Ave, Indianapolis, Indiana
Phone Number 3176217533
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1609935253
Provider Enumeration Date 2006-12-08
Last Updated Date 2009-10-20

Provider Mailing Address Detail

Address 1500 N Ritter Ave
City Indianapolis
State Indiana (IN)
Post Code 462193027
Phone Number 3176217533
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34005359A
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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FAQs about Jessica R Fogle

What is the Jessica R Fogle's 1609935253?

The Jessica R Fogle's NPI (National Provider Identifier) Number is 1609935253. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jessica R Fogle is physically located?

The Jessica R Fogle is situated at the following address: 1500 N Ritter Ave, Indianapolis, IN 462193027.

What is Jessica R Fogle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jessica R Fogle's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1609935253 to Jessica R Fogle?

The Centers for Medicare & Medicaid Services originally issued the 1609935253 to Jessica R Fogle on 2006-12-08.

As of what date was the information pertaining to Jessica R Fogle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jessica R Fogle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-20.

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