Jennifer Lynn Thayer in Waterford - Clinical
Jennifer Lynn Thayer - NPI 1760640635
Jennifer Lynn Thayer is a Clinical in Waterford, Michigan. Jennifer Lynn Thayer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Lynn Thayer is 1760640635. The last update date is 2013-04-26.
Jennifer Lynn Thayer's current location address is 279 Summit Dr, Waterford, Michigan. You can contact this provider via phone number 2484094241. The mailing address for Jennifer Lynn Thayer is 279 Summit Dr, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Thayer |
|---|---|
| Address | 279 Summit Dr, Waterford, Michigan |
| Phone Number | 2484094241 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LLMSW |
NPI Number Detail
| NPI Number | 1760640635 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2013-04-26 |
Provider Mailing Address Detail
| Address | 279 Summit Dr |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483283364 |
| Phone Number | 2484094241 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801089299 |
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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 10-digit identification code assigned to Jennifer Lynn Thayer by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Thayer has been issued the NPI (National Provider Identifier) 1760640635, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Lynn Thayer located?
The Jennifer Lynn Thayer is located at 279 Summit Dr, Waterford, MI 483283364.
What is the Jennifer Lynn Thayer's specialty and taxonomy code?
The Jennifer Lynn Thayer's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760640635 to Jennifer Lynn Thayer?
The Centers for Medicare & Medicaid Services originally issued the 1760640635 to Jennifer Lynn Thayer on 2008-05-28.
As of what date were the Jennifer Lynn Thayer's details last updated?
The information pertaining to the Jennifer Lynn Thayer, including its address, specialty, and other details, was most recently updated on 2013-04-26.