Jacqueline S. Graybeal in Logansport - Clinical
Jacqueline S. Graybeal - NPI 1487685756
Jacqueline S. Graybeal is a Clinical in Logansport, Indiana. Jacqueline S. Graybeal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline S. Graybeal is 1487685756. The last update date is 2007-07-08.
Jacqueline S. Graybeal's current location address is 1807 Smith St, Logansport, Indiana. You can contact this provider via phone number 5747321414 and fax number 5747320504. The mailing address for Jacqueline S. Graybeal is 1807 Smith St, Logansport, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacqueline S. Graybeal |
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Address | 1807 Smith St, Logansport, Indiana |
Phone Number | 5747321414 |
Fax Number | 5747320504 |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1487685756 |
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Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1807 Smith St |
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City | Logansport |
State | Indiana (IN) |
Post Code | 469471576 |
Phone Number | 5747321414 |
Fax Number | 5747320504 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 34001775A |
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 |
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549330 | IN | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacqueline S. Graybeal by the Centers for Medicare & Medicaid Services?
The Jacqueline S. Graybeal has been assigned the NPI (National Provider Identifier) 1487685756 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jacqueline S. Graybeal?
The Jacqueline S. Graybeal is physically situated at 1807 Smith St, in the city of Logansport, state of IN, with the postal code 469471576.
What is the area of specialization for Jacqueline S. Graybeal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqueline S. Graybeal is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jacqueline S. Graybeal receive its 1487685756 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline S. Graybeal was assigned its 1487685756 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date was the information regarding Jacqueline S. Graybeal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline S. Graybeal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.