Jennifer D Short is a Clinical in Easton, Maryland. Jennifer D Short practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer D Short is 1275603144. The last update date is 2010-11-30.
Jennifer D Short's current location address is 29520 Canvasback Dr, Easton, Maryland. You can contact this provider via phone number 4108225007 and fax number 4108225569. The mailing address for Jennifer D Short is 29520 Canvasback Dr, Easton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer D Short |
|---|---|
| Address | 29520 Canvasback Dr, Easton, Maryland |
| Phone Number | 4108225007 |
| Fax Number | 4108225569 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1275603144 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2010-11-30 |
Provider Mailing Address Detail
| Address | 29520 Canvasback Dr |
|---|---|
| City | Easton |
| State | Maryland (MD) |
| Post Code | 216017124 |
| Phone Number | 4108225007 |
| Fax Number | 4108225569 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 14903 |
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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 |
|---|---|---|---|
| 517251 | UHC MAMSI | ||
| 259147000 | MAGELLAN GROUP | ||
| 522156095 | MD | AMERICAN PSYCH SYSTEM | |
| LM49EA | MD | CAREFIRST BCBS | |
| 609500300 | MD | -- | |
| 609550004 | MD | -- | |
| 609500301 | MD | -- | |
| 609550001 | MD | -- | |
| 609550002 | MD | -- | |
| R968 | CAREFIRST FEDERAL |
Post Comment/ Review Below
What is the Jennifer D Short's unique identification number?
The Jennifer D Short has been assigned the NPI (National Provider Identifier) Number 1275603144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jennifer D Short?
The Jennifer D Short is physically situated at 29520 Canvasback Dr, in the city of Easton, state of MD, with the postal code 216017124.
What is Jennifer D Short's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer D Short's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Jennifer D Short receive its 1275603144 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer D Short was assigned its 1275603144 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details pertaining to Jennifer D Short last refreshed?
The information related to the Jennifer D Short, including its address, specialty, and other relevant details, was last updated on 2010-11-30.