Jack Greenfield is a Clinical in Grand Rapids, Michigan. Jack Greenfield practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Greenfield is 1124242755. The last update date is 2007-07-08.
Jack Greenfield's current location address is 1115 Ball Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164567775 and fax number 6164568568. The mailing address for Jack Greenfield is 1115 Ball Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Greenfield |
|---|---|
| Address | 1115 Ball Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164567775 |
| Fax Number | 6164568568 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1124242755 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1115 Ball Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495055904 |
| Phone Number | 6164567775 |
| Fax Number | 6164568568 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801016263 |
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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 provider identifier assigned to Jack Greenfield?
The Jack Greenfield has been issued the NPI (National Provider Identifier) 1124242755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Greenfield's facilities are geographically located?
The facilities of Jack Greenfield are physically situated at the following location: 1115 Ball Ave Ne, Grand Rapids, MI, 495055904.
What is the Jack Greenfield's area of specialization and corresponding taxonomy classification?
The Jack Greenfield's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jack Greenfield receive the assignment of its 1124242755 from the Centers for Medicare & Medicaid Services?
The Jack Greenfield was issued its 1124242755 by the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the information regarding Jack Greenfield most recently updated?
The details pertaining to the Jack Greenfield, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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