Richard Chad Jackson in London - Clinical
Richard Chad Jackson - NPI 1467671982
Richard Chad Jackson is a Clinical in London, Kentucky. Richard Chad Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Chad Jackson is 1467671982. The last update date is 2007-07-08.
Richard Chad Jackson's current location address is 920 Bargo St, London, Kentucky. You can contact this provider via phone number 6068787658. The mailing address for Richard Chad Jackson is 920 Bargo St, London, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Chad Jackson |
|---|---|
| Address | 920 Bargo St, London, Kentucky |
| Phone Number | 6068787658 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467671982 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 920 Bargo St |
|---|---|
| City | London |
| State | Kentucky (KY) |
| Post Code | 407412710 |
| Phone Number | 6068787658 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 311 |
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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 |
|---|---|---|---|
| C62048 | KY | CUMBERLAND HEALTHCARE INC |
Post Comment/ Review Below
What is the Richard Chad Jackson's 1467671982?
The Richard Chad Jackson's NPI (National Provider Identifier) Number is 1467671982. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Richard Chad Jackson located?
The Richard Chad Jackson is located at 920 Bargo St, London, KY 407412710.
What is Richard Chad Jackson'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 Richard Chad Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Richard Chad Jackson receive its 1467671982 assignment?
The Richard Chad Jackson was assigned its 1467671982 on 2007-04-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Richard Chad Jackson's details last updated?
The information pertaining to the Richard Chad Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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