Jeanne Carol Pettijohn in Overland Park - Clinical
Jeanne Carol Pettijohn - NPI 1114148616
Jeanne Carol Pettijohn is a Clinical in Overland Park, Kansas. Jeanne Carol Pettijohn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne Carol Pettijohn is 1114148616. The last update date is 2007-07-08.
Jeanne Carol Pettijohn's current location address is 8101 Overland Park Drive, Overland Park, Kansas. You can contact this provider via phone number 9133853020 and fax number 9138888454. The mailing address for Jeanne Carol Pettijohn is 8101 Overland Park Drive, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Carol Pettijohn |
|---|---|
| Address | 8101 Overland Park Drive, Overland Park, Kansas |
| Phone Number | 9133853020 |
| Fax Number | 9138888454 |
| Sole Proprietor | Y |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1114148616 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8101 Overland Park Drive |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 66204 |
| Phone Number | 9133853020 |
| Fax Number | 9138888454 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 910 |
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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 issued to Jeanne Carol Pettijohn by the Centers for Medicare & Medicaid Services?
The Jeanne Carol Pettijohn has been assigned the NPI (National Provider Identifier) 1114148616 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jeanne Carol Pettijohn's physical address?
The Jeanne Carol Pettijohn is physically located at 8101 Overland Park Drive, in the city of Overland Park, KS, with the postal code 66204.
What is Jeanne Carol Pettijohn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeanne Carol Pettijohn is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114148616 to Jeanne Carol Pettijohn?
The Centers for Medicare & Medicaid Services assigned the 1114148616 to Jeanne Carol Pettijohn on 2007-05-01.
As of what date were the details related to Jeanne Carol Pettijohn most recently updated or revised?
The information pertaining to Jeanne Carol Pettijohn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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