Jessica Marie Manger in Worcester - Clinical

Jessica Marie Manger - NPI 1104922764

Jessica Marie Manger is a Clinical in Worcester, Massachusetts. Jessica Marie Manger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Marie Manger is 1104922764. The last update date is 2007-07-08.

Jessica Marie Manger's current location address is 72 Jaques Ave, Worcester, Massachusetts. You can contact this provider via phone number 5088601163. The mailing address for Jessica Marie Manger is 72 Jaques Ave, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Marie Manger
Address 72 Jaques Ave, Worcester, Massachusetts
Phone Number 5088601163
Fax Number
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1104922764
Provider Enumeration Date 2006-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 72 Jaques Ave
City Worcester
State Massachusetts (MA)
Post Code 16102476
Phone Number 5088601163
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 113646
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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FAQs about Jessica Marie Manger

What is the unique 10-digit identification code assigned to Jessica Marie Manger by the Centers for Medicare & Medicaid Services?

The Jessica Marie Manger has been issued the NPI (National Provider Identifier) 1104922764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jessica Marie Manger's facilities are geographically located?

The facilities of Jessica Marie Manger are physically situated at the following location: 72 Jaques Ave, Worcester, MA, 16102476.

What is Jessica Marie Manger'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 Jessica Marie Manger is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date was the 1104922764 assigned to Jessica Marie Manger?

The Jessica Marie Manger was issued its 1104922764 on 2006-09-14, 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 Jessica Marie Manger, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jessica Marie Manger, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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