Jodi Lynn Dively is a Clinical in Glen Burnie, Maryland. Jodi Lynn Dively practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jodi Lynn Dively is 1255461125. The last update date is 2023-01-05.
Jodi Lynn Dively's current location address is 214 2nd Ave Sw, Glen Burnie, Maryland. You can contact this provider via phone number 4437102324. The mailing address for Jodi Lynn Dively is 214 2nd Ave Sw, Glen Burnie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Lynn Dively |
|---|---|
| Address | 214 2nd Ave Sw, Glen Burnie, Maryland |
| Phone Number | 4437102324 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1255461125 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2023-01-05 |
Provider Mailing Address Detail
| Address | 214 2nd Ave Sw |
|---|---|
| City | Glen Burnie |
| State | Maryland (MD) |
| Post Code | 210613465 |
| Phone Number | 4437102324 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12032 |
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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 |
|---|---|---|---|
| 212150600 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jodi Lynn Dively by the Centers for Medicare & Medicaid Services?
The Jodi Lynn Dively has been assigned the NPI (National Provider Identifier) 1255461125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jodi Lynn Dively's facilities are situated?
The facilities of Jodi Lynn Dively are physically located at the following address: 214 2Nd Ave Sw, Glen Burnie, MD, 210613465.
What is Jodi Lynn Dively's area of expertise and its corresponding taxonomy classification?
The Jodi Lynn Dively's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Jodi Lynn Dively receive its 1255461125 assignment?
The Jodi Lynn Dively was assigned its 1255461125 on 2007-03-07, which is the date when this unique identifier was issued to the organization.
When was the information related to Jodi Lynn Dively most recently updated or refreshed?
The details pertaining to the Jodi Lynn Dively, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-05.
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