Jacelyn Marie Gennero in Auburn Hills - Clinical

Jacelyn Marie Gennero - NPI 1104839687

Jacelyn Marie Gennero is a Clinical in Auburn Hills, Michigan. Jacelyn Marie Gennero practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacelyn Marie Gennero is 1104839687. The last update date is 2010-11-29.

Jacelyn Marie Gennero's current location address is 2387 E Walton Blvd, Auburn Hills, Michigan. You can contact this provider via phone number 2484756300 and fax number 2484756302. The mailing address for Jacelyn Marie Gennero is 2387 E Walton Blvd, Auburn Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacelyn Marie Gennero
Address 2387 E Walton Blvd, Auburn Hills, Michigan
Phone Number 2484756300
Fax Number 2484756302
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1104839687
Provider Enumeration Date 2006-08-14
Last Updated Date 2010-11-29

Provider Mailing Address Detail

Address 2387 E Walton Blvd
City Auburn Hills
State Michigan (MI)
Post Code 483261955
Phone Number 2484756300
Fax Number 2484756302

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801085603
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 Jacelyn Marie Gennero

What is the Jacelyn Marie Gennero's 1104839687?

The Jacelyn Marie Gennero's NPI (National Provider Identifier) Number is 1104839687. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jacelyn Marie Gennero is geographically located?

The Jacelyn Marie Gennero is physically situated at the following location: 2387 E Walton Blvd, Auburn Hills, MI, 483261955.

What is Jacelyn Marie Gennero's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jacelyn Marie Gennero is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Jacelyn Marie Gennero receive its 1104839687 assignment from the Centers for Medicare & Medicaid Services?

The Jacelyn Marie Gennero was assigned its 1104839687 by the Centers for Medicare & Medicaid Services on 2006-08-14.

When was the information related to Jacelyn Marie Gennero most recently updated or refreshed?

The details pertaining to the Jacelyn Marie Gennero, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-29.

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