Clancey Jackson Paul in Lexington - Clinical
Clancey Jackson Paul - NPI 1992863377
Clancey Jackson Paul is a Clinical in Lexington, Massachusetts. Clancey Jackson Paul practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clancey Jackson Paul is 1992863377. The last update date is 2007-07-08.
Clancey Jackson Paul's current location address is 16 Clarke St, Lexington, Massachusetts. You can contact this provider via phone number 7814022442 and fax number 7814021744. The mailing address for Clancey Jackson Paul is 16 Clarke St, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clancey Jackson Paul |
|---|---|
| Address | 16 Clarke St, Lexington, Massachusetts |
| Phone Number | 7814022442 |
| Fax Number | 7814021744 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1992863377 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16 Clarke St |
|---|---|
| City | Lexington |
| State | Massachusetts (MA) |
| Post Code | 24214988 |
| Phone Number | 7814022442 |
| Fax Number | 7814021744 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 113247 |
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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 Clancey Jackson Paul's unique identification number?
The Clancey Jackson Paul has been assigned the NPI (National Provider Identifier) Number 1992863377 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Clancey Jackson Paul?
The Clancey Jackson Paul is situated at 16 Clarke St, in the city of Lexington, state of MA, with the zip code 24214988.
What is Clancey Jackson Paul's area of expertise and its corresponding taxonomy classification?
The Clancey Jackson Paul's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1992863377 to Clancey Jackson Paul?
The Centers for Medicare & Medicaid Services assigned the 1992863377 to Clancey Jackson Paul on 2006-12-05.
As of what date were the details pertaining to Clancey Jackson Paul last refreshed?
The information related to the Clancey Jackson Paul, including its address, specialty, and other relevant details, was last updated on 2007-07-08.