Jennifer Pedroza in Traverse City - Clinical
Jennifer Pedroza - NPI 1740461250
Jennifer Pedroza is a Clinical in Traverse City, Michigan. Jennifer Pedroza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Pedroza is 1740461250. The last update date is 2007-11-27.
Jennifer Pedroza's current location address is 3180 Racquet Club Dr Ste G, Traverse City, Michigan. You can contact this provider via phone number 2319222885 and fax number 2319220135. The mailing address for Jennifer Pedroza is 3180 Racquet Club Dr Ste G, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Pedroza |
|---|---|
| Address | 3180 Racquet Club Dr Ste G, Traverse City, Michigan |
| Phone Number | 2319222885 |
| Fax Number | 2319220135 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740461250 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 3180 Racquet Club Dr Ste G |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496844797 |
| Phone Number | 2319222885 |
| Fax Number | 2319220135 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801078327 |
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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 identification code assigned to Jennifer Pedroza by the Centers for Medicare & Medicaid Services?
The Jennifer Pedroza has been issued the NPI (National Provider Identifier) 1740461250. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer Pedroza is located?
The Jennifer Pedroza is situated at the following address: 3180 Racquet Club Dr Ste G, Traverse City, MI, 496844797.
What is Jennifer Pedroza's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Pedroza is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Jennifer Pedroza receive the assignment of its 1740461250 from the Centers for Medicare & Medicaid Services?
The Jennifer Pedroza was issued its 1740461250 by the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date were the details related to Jennifer Pedroza most recently updated or revised?
The information pertaining to Jennifer Pedroza, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-27.
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