Jerry Wayne Boston in Jeffersonville - Clinical
Jerry Wayne Boston - NPI 1952435463
Jerry Wayne Boston is a Clinical in Jeffersonville, Indiana. Jerry Wayne Boston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Wayne Boston is 1952435463. The last update date is 2007-07-08.
Jerry Wayne Boston's current location address is 1106 Sandstone Dr, Jeffersonville, Indiana. You can contact this provider via phone number 8122843878. The mailing address for Jerry Wayne Boston is 1106 Sandstone Dr, Jeffersonville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wayne Boston |
|---|---|
| Address | 1106 Sandstone Dr, Jeffersonville, Indiana |
| Phone Number | 8122843878 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1952435463 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1106 Sandstone Dr |
|---|---|
| City | Jeffersonville |
| State | Indiana (IN) |
| Post Code | 471308448 |
| Phone Number | 8122843878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34005200A |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Wayne Boston by the Centers for Medicare & Medicaid Services?
The Jerry Wayne Boston has been issued the NPI (National Provider Identifier) 1952435463 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jerry Wayne Boston?
The Jerry Wayne Boston is physically situated at 1106 Sandstone Dr, in the city of Jeffersonville, state of IN, with the postal code 471308448.
What is Jerry Wayne Boston's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Wayne Boston is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1952435463 assigned to Jerry Wayne Boston?
The Jerry Wayne Boston was issued its 1952435463 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jerry Wayne Boston's details last updated?
The information pertaining to the Jerry Wayne Boston, including its address, specialty, and other details, was most recently updated on 2007-07-08.