Joan Ellen Fullilove in Jennings - Clinical
Joan Ellen Fullilove - NPI 1366638108
Joan Ellen Fullilove is a Clinical in Jennings, Louisiana. Joan Ellen Fullilove practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Ellen Fullilove is 1366638108. The last update date is 2007-09-14.
Joan Ellen Fullilove's current location address is 1907 Johnson St, Jennings, Louisiana. You can contact this provider via phone number 3378241000 and fax number 3378244947. The mailing address for Joan Ellen Fullilove is 1907 Johnson St, Jennings, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Ellen Fullilove |
|---|---|
| Address | 1907 Johnson St, Jennings, Louisiana |
| Phone Number | 3378241000 |
| Fax Number | 3378244947 |
| Sole Proprietor | Y |
| Credentials | LCSW,ACSW |
NPI Number Detail
| NPI Number | 1366638108 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
| Address | 1907 Johnson St |
|---|---|
| City | Jennings |
| State | Louisiana (LA) |
| Post Code | 70546 |
| Phone Number | 3378241000 |
| Fax Number | 3378244947 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3836 |
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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 identifier code issued to Joan Ellen Fullilove by the Centers for Medicare & Medicaid Services (CMS)?
The Joan Ellen Fullilove has been assigned the NPI (National Provider Identifier) 1366638108. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Joan Ellen Fullilove?
The Joan Ellen Fullilove is situated at 1907 Johnson St, in the city of Jennings, state of LA, with the zip code 70546.
What is the Joan Ellen Fullilove's area of specialization and corresponding taxonomy classification?
The Joan Ellen Fullilove's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366638108 to Joan Ellen Fullilove?
The Centers for Medicare & Medicaid Services originally issued the 1366638108 to Joan Ellen Fullilove on 2007-09-14.
As of what date was the information pertaining to Joan Ellen Fullilove, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joan Ellen Fullilove, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-14.
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