Deborah Lynn Jandle in Grand Rapids - Clinical
Deborah Lynn Jandle - NPI 1295841872
Deborah Lynn Jandle is a Clinical in Grand Rapids, Michigan. Deborah Lynn Jandle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah Lynn Jandle is 1295841872. The last update date is 2017-08-08.
Deborah Lynn Jandle's current location address is 1444 Michigan Street Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6168623296 and fax number 6164667944. The mailing address for Deborah Lynn Jandle is 1444 Michigan Street Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lynn Jandle |
|---|---|
| Address | 1444 Michigan Street Ne, Grand Rapids, Michigan |
| Phone Number | 6168623296 |
| Fax Number | 6164667944 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1295841872 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2017-08-08 |
Provider Mailing Address Detail
| Address | 1444 Michigan Street Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49503 |
| Phone Number | 6168623296 |
| Fax Number | 6164667944 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801082338 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900030174 | MI | PRIORITY HEALTH MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Deborah Lynn Jandle by the Centers for Medicare & Medicaid Services (CMS)?
The Deborah Lynn Jandle has been assigned the NPI (National Provider Identifier) 1295841872. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Deborah Lynn Jandle is physically located?
The Deborah Lynn Jandle is physically situated at the following address: 1444 Michigan Street Ne, Grand Rapids, MI, 49503.
What is the Deborah Lynn Jandle's specialty and taxonomy code?
The Deborah Lynn Jandle's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Deborah Lynn Jandle receive the assignment of its 1295841872 from the Centers for Medicare & Medicaid Services?
The Deborah Lynn Jandle was issued its 1295841872 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date was the information pertaining to Deborah Lynn Jandle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Deborah Lynn Jandle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-08-08.