Jay Conklin is a Clinical in Springfield, Massachusetts. Jay Conklin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jay Conklin is 1417095662. The last update date is 2007-07-08.
Jay Conklin's current location address is 33 School St, Springfield, Massachusetts. You can contact this provider via phone number 4138464300 and fax number 4137320429. The mailing address for Jay Conklin is 33 School St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Conklin |
|---|---|
| Address | 33 School St, Springfield, Massachusetts |
| Phone Number | 4138464300 |
| Fax Number | 4137320429 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1417095662 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 33 School St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 110513010 |
| Phone Number | 4138464300 |
| Fax Number | 4137320429 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105899 |
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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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What is the unique identification code assigned to Jay Conklin by the Centers for Medicare & Medicaid Services?
The Jay Conklin has been issued the NPI (National Provider Identifier) 1417095662. 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 Jay Conklin is located?
The Jay Conklin is situated at the following address: 33 School St, Springfield, MA, 110513010.
What is the Jay Conklin's specialty and taxonomy code?
The Jay Conklin's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417095662 to Jay Conklin?
The Centers for Medicare & Medicaid Services assigned the 1417095662 to Jay Conklin on 2007-02-01.
As of what date were the details related to Jay Conklin most recently updated or revised?
The information pertaining to Jay Conklin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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