Jill Hurst in South Bend - Clinical

Jill Hurst - NPI 1720077654

Jill Hurst is a Clinical in South Bend, Indiana. Jill Hurst practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Hurst is 1720077654. The last update date is 2010-05-05.

Jill Hurst's current location address is 513 W Jefferson Blvd, South Bend, Indiana. You can contact this provider via phone number 5742322255 and fax number 5742460171. The mailing address for Jill Hurst is 513 W Jefferson Blvd, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Hurst
Address 513 W Jefferson Blvd, South Bend, Indiana
Phone Number 5742322255
Fax Number 5742460171
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1720077654
Provider Enumeration Date 2005-10-13
Last Updated Date 2010-05-05

Provider Mailing Address Detail

Address 513 W Jefferson Blvd
City South Bend
State Indiana (IN)
Post Code 466011516
Phone Number 5742322255
Fax Number 5742460171

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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 Jill Hurst

What is the unique provider identifier assigned to Jill Hurst?

The Jill Hurst has been issued the NPI (National Provider Identifier) 1720077654 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jill Hurst's facilities are situated?

The facilities of Jill Hurst are physically located at the following address: 513 W Jefferson Blvd, South Bend, IN, 466011516.

What is Jill Hurst's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jill Hurst is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1720077654 to Jill Hurst?

The Centers for Medicare & Medicaid Services assigned the 1720077654 to Jill Hurst on 2005-10-13.

When was the information regarding Jill Hurst most recently updated?

The details pertaining to the Jill Hurst, including its address, specialty, and other relevant information, were last refreshed on 2010-05-05.

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