John R. Jaksa is a Clinical in Bangor, Maine. John R. Jaksa practices all healthcare services and medical treatments related to Clinical. The NPI Number for John R. Jaksa is 1306917802. The last update date is 2007-07-09.
John R. Jaksa's current location address is 42 Cedar St, Bangor, Maine. You can contact this provider via phone number 2079470366. The mailing address for John R. Jaksa is 42 Cedar St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R. Jaksa |
|---|---|
| Address | 42 Cedar St, Bangor, Maine |
| Phone Number | 2079470366 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306917802 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 42 Cedar St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016433 |
| Phone Number | 2079470366 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC5902 |
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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 identification code assigned to John R. Jaksa by the Centers for Medicare & Medicaid Services?
The John R. Jaksa has been issued the NPI (National Provider Identifier) 1306917802. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John R. Jaksa is located?
The John R. Jaksa is situated at the following address: 42 Cedar St, Bangor, ME, 44016433.
What is the John R. Jaksa's specialty and taxonomy code?
The John R. Jaksa's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306917802 to John R. Jaksa?
The John R. Jaksa received its 1306917802 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date were the details pertaining to John R. Jaksa last refreshed?
The information related to the John R. Jaksa, including its address, specialty, and other relevant details, was last updated on 2007-07-09.