Monique A Thibodeaux Jack in Baton Rouge - Clinical
Monique A Thibodeaux Jack - NPI 1750562310
Monique A Thibodeaux Jack is a Clinical in Baton Rouge, Louisiana. Monique A Thibodeaux Jack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Monique A Thibodeaux Jack is 1750562310. The last update date is 2011-07-21.
Monique A Thibodeaux Jack's current location address is 1418 Bullrush Dr, Baton Rouge, Louisiana. You can contact this provider via phone number 2256034068 and fax number 2257670203. The mailing address for Monique A Thibodeaux Jack is 1418 Bullrush Dr, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monique A Thibodeaux Jack |
|---|---|
| Address | 1418 Bullrush Dr, Baton Rouge, Louisiana |
| Phone Number | 2256034068 |
| Fax Number | 2257670203 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1750562310 |
|---|---|
| Provider Enumeration Date | 2007-11-23 |
| Last Updated Date | 2011-07-21 |
Provider Mailing Address Detail
| Address | 1418 Bullrush Dr |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708105222 |
| Phone Number | 2256034068 |
| Fax Number | 2257670203 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5237 |
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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 Monique A Thibodeaux Jack's unique identification number?
The Monique A Thibodeaux Jack has been assigned the NPI (National Provider Identifier) Number 1750562310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Monique A Thibodeaux Jack is geographically located?
The Monique A Thibodeaux Jack is physically situated at the following location: 1418 Bullrush Dr, Baton Rouge, LA, 708105222.
What is Monique A Thibodeaux Jack'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 Monique A Thibodeaux Jack is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date was the 1750562310 assigned to Monique A Thibodeaux Jack?
The Monique A Thibodeaux Jack was issued its 1750562310 on 2007-11-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Monique A Thibodeaux Jack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Monique A Thibodeaux Jack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-21.