Jacqueline Ann Smith in Berkley - Clinical
Jacqueline Ann Smith - NPI 1073640926
Jacqueline Ann Smith is a Clinical in Berkley, Michigan. Jacqueline Ann Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Ann Smith is 1073640926. The last update date is 2007-07-08.
Jacqueline Ann Smith's current location address is 1311 Columbia Rd, Berkley, Michigan. You can contact this provider via phone number 2485487206. The mailing address for Jacqueline Ann Smith is 1311 Columbia Rd, Berkley, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Ann Smith |
|---|---|
| Address | 1311 Columbia Rd, Berkley, Michigan |
| Phone Number | 2485487206 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1073640926 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1311 Columbia Rd |
|---|---|
| City | Berkley |
| State | Michigan (MI) |
| Post Code | 480721916 |
| Phone Number | 2485487206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801073692 |
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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 unique 10-digit identifier code issued to Jacqueline Ann Smith by the Centers for Medicare & Medicaid Services?
The Jacqueline Ann Smith has been assigned the NPI (National Provider Identifier) 1073640926 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqueline Ann Smith?
The Jacqueline Ann Smith is physically situated at 1311 Columbia Rd, in the city of Berkley, state of MI, with the postal code 480721916.
What is Jacqueline Ann Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacqueline Ann Smith is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Jacqueline Ann Smith receive its 1073640926 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Ann Smith was assigned its 1073640926 by the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the Jacqueline Ann Smith's information last updated?
The Jacqueline Ann Smith's information was last updated on 2007-07-08.