Clay Nelson White in Jamaica Plain - Clinical
Clay Nelson White - NPI 1992896138
Clay Nelson White is a Clinical in Jamaica Plain, Massachusetts. Clay Nelson White practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clay Nelson White is 1992896138. The last update date is 2010-03-16.
Clay Nelson White's current location address is 111 Perkins St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179839811 and fax number 6172673667. The mailing address for Clay Nelson White is 111 Perkins St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clay Nelson White |
|---|---|
| Address | 111 Perkins St, Jamaica Plain, Massachusetts |
| Phone Number | 6179839811 |
| Fax Number | 6172673667 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1992896138 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2010-03-16 |
Provider Mailing Address Detail
| Address | 111 Perkins St |
|---|---|
| City | Jamaica Plain |
| State | Massachusetts (MA) |
| Post Code | 21304313 |
| Phone Number | 6179839811 |
| Fax Number | 6172673667 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1020269 |
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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 |
|---|---|---|---|
| 1854160 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clay Nelson White by the Centers for Medicare & Medicaid Services?
The Clay Nelson White has been assigned the NPI (National Provider Identifier) 1992896138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Clay Nelson White is physically located?
The Clay Nelson White is situated at the following address: 111 Perkins St, Jamaica Plain, MA 21304313.
What is Clay Nelson White's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clay Nelson White is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date was the 1992896138 assigned to Clay Nelson White?
The Clay Nelson White was issued its 1992896138 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Clay Nelson White, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clay Nelson White, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-16.