Jerry Ray Christensen in Iowa City - Clinical
Jerry Ray Christensen - NPI 1225024870
Jerry Ray Christensen is a Clinical in Iowa City, Iowa. Jerry Ray Christensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Ray Christensen is 1225024870. The last update date is 2007-07-08.
Jerry Ray Christensen's current location address is 200 Hawkins Drive, Iowa City, Iowa. You can contact this provider via phone number 3193546479 and fax number 3193546291. The mailing address for Jerry Ray Christensen is 200 Hawkins Drive, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Ray Christensen |
|---|---|
| Address | 200 Hawkins Drive, Iowa City, Iowa |
| Phone Number | 3193546479 |
| Fax Number | 3193546291 |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1225024870 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Hawkins Drive |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421082 |
| Phone Number | 3193546479 |
| Fax Number | 3193546291 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 473 |
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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 |
|---|---|---|---|
| 33721 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the Jerry Ray Christensen's unique identification number?
The Jerry Ray Christensen has been assigned the NPI (National Provider Identifier) Number 1225024870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jerry Ray Christensen's physical address?
The Jerry Ray Christensen is physically located at 200 Hawkins Drive, in the city of Iowa City, IA, with the postal code 522421082.
What is Jerry Ray Christensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Ray Christensen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Jerry Ray Christensen receive its 1225024870 assignment?
The Jerry Ray Christensen was assigned its 1225024870 on 2005-09-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jerry Ray Christensen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Ray Christensen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH