Gloria Jackson is a Clinical in Detroit, Michigan. Gloria Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gloria Jackson is 1205874369. The last update date is 2007-07-08.
Gloria Jackson's current location address is 220 W Congress St, Detroit, Michigan. You can contact this provider via phone number 3139634979 and fax number 3139634997. The mailing address for Gloria Jackson is 220 W Congress St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria Jackson |
|---|---|
| Address | 220 W Congress St, Detroit, Michigan |
| Phone Number | 3139634979 |
| Fax Number | 3139634997 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1205874369 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 W Congress St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482263289 |
| Phone Number | 3139634979 |
| Fax Number | 3139634997 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801019214 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Gloria Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria Jackson has been assigned the NPI (National Provider Identifier) 1205874369. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Gloria Jackson's facilities are situated?
The facilities of Gloria Jackson are physically located at the following address: 220 W Congress St, Detroit, MI, 482263289.
What is the Gloria Jackson's specialty and taxonomy code?
The Gloria Jackson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Gloria Jackson receive its 1205874369 assignment from the Centers for Medicare & Medicaid Services?
The Gloria Jackson was assigned its 1205874369 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date were the details related to Gloria Jackson most recently updated or revised?
The information pertaining to Gloria Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.