Dana Dayle Jessup is a Clinical in Mc Louth, Kansas. Dana Dayle Jessup practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dana Dayle Jessup is 1508890146. The last update date is 2017-02-14.
Dana Dayle Jessup's current location address is 17821 78th St, Mc Louth, Kansas. You can contact this provider via phone number 7857427113 and fax number 7857423085. The mailing address for Dana Dayle Jessup is 17821 78th St, Mc Louth, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dana Dayle Jessup |
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Address | 17821 78th St, Mc Louth, Kansas |
Phone Number | 7857427113 |
Fax Number | 7857423085 |
Sole Proprietor | N |
Credentials | LSCSW |
NPI Number Detail
NPI Number | 1508890146 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2017-02-14 |
Provider Mailing Address Detail
Address | 17821 78th St |
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City | Mc Louth |
State | Kansas (KS) |
Post Code | 660545091 |
Phone Number | 7857427113 |
Fax Number | 7857423085 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 3142 |
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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100097950B | KS | -- | |
100097950A | KS | -- |
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What is the unique 10-digit identifier code assigned to Dana Dayle Jessup by the Centers for Medicare & Medicaid Services?
The Dana Dayle Jessup has been issued the NPI (National Provider Identifier) 1508890146 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dana Dayle Jessup's facilities are situated?
The facilities of Dana Dayle Jessup are physically located at the following address: 17821 78Th St, Mc Louth, KS, 660545091.
What is Dana Dayle Jessup's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dana Dayle Jessup is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Dana Dayle Jessup receive the assignment of its 1508890146 from the Centers for Medicare & Medicaid Services?
The Dana Dayle Jessup was issued its 1508890146 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the Dana Dayle Jessup's details last updated?
The information pertaining to the Dana Dayle Jessup, including its address, specialty, and other details, was most recently updated on 2017-02-14.
NPI Number: 1063415297
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