Laci Lucille Gentry in Jamaica Plain - Clinical
Laci Lucille Gentry - NPI 1457540866
Laci Lucille Gentry is a Clinical in Jamaica Plain, Massachusetts. Laci Lucille Gentry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laci Lucille Gentry is 1457540866. The last update date is 2007-10-22.
Laci Lucille Gentry's current location address is 555 Amory St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6175226700. The mailing address for Laci Lucille Gentry is 555 Amory St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Laci Lucille Gentry |
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Address | 555 Amory St, Jamaica Plain, Massachusetts |
Phone Number | 6175226700 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1457540866 |
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Provider Enumeration Date | 2007-10-22 |
Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
Address | 555 Amory St |
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City | Jamaica Plain |
State | Massachusetts (MA) |
Post Code | 21302652 |
Phone Number | 6175226700 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 214386 |
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 identifier code issued to Laci Lucille Gentry by the Centers for Medicare & Medicaid Services (CMS)?
The Laci Lucille Gentry has been assigned the NPI (National Provider Identifier) 1457540866. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Laci Lucille Gentry is physically located?
The Laci Lucille Gentry is situated at the following address: 555 Amory St, Jamaica Plain, MA 21302652.
What is the Laci Lucille Gentry's specialty and taxonomy code?
The Laci Lucille Gentry's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Laci Lucille Gentry receive its 1457540866 assignment from the Centers for Medicare & Medicaid Services?
The Laci Lucille Gentry was assigned its 1457540866 on 2007-10-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Laci Lucille Gentry last refreshed?
The information related to the Laci Lucille Gentry, including its address, specialty, and other relevant details, was last updated on 2007-10-22.
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