Jeffrey Devore in Clinton Township - Clinical
Jeffrey Devore - NPI 1417055195
Jeffrey Devore is a Clinical in Clinton Township, Michigan. Jeffrey Devore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Devore is 1417055195. The last update date is 2021-03-30.
Jeffrey Devore's current location address is 15420 19 Mile Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862267007 and fax number 5862267033. The mailing address for Jeffrey Devore is 15420 19 Mile Rd, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Devore |
|---|---|
| Address | 15420 19 Mile Rd, Clinton Township, Michigan |
| Phone Number | 5862267007 |
| Fax Number | 5862267033 |
| Sole Proprietor | N |
| Credentials | MSW,LMSW,A |
NPI Number Detail
| NPI Number | 1417055195 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 15420 19 Mile Rd |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480386339 |
| Phone Number | 5862267007 |
| Fax Number | 5862267033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 identifier code issued to Jeffrey Devore by the Centers for Medicare & Medicaid Services?
The Jeffrey Devore has been assigned the NPI (National Provider Identifier) 1417055195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffrey Devore's physical address?
The Jeffrey Devore is physically located at 15420 19 Mile Rd, in the city of Clinton Township, MI, with the postal code 480386339.
What is Jeffrey Devore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Devore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417055195 to Jeffrey Devore?
The Centers for Medicare & Medicaid Services assigned the 1417055195 to Jeffrey Devore on 2006-09-20.
When was the Jeffrey Devore's information last updated?
The Jeffrey Devore's information was last updated on 2021-03-30.