Emiley Jo Eisen is a Clinical in Grand Rapids, Michigan. Emiley Jo Eisen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Emiley Jo Eisen is 1861510109. The last update date is 2007-07-08.
Emiley Jo Eisen's current location address is 1331 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164597215 and fax number 6164510020. The mailing address for Emiley Jo Eisen is 1331 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emiley Jo Eisen |
|---|---|
| Address | 1331 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6164597215 |
| Fax Number | 6164510020 |
| Sole Proprietor | N |
| Credentials | LLMSW |
NPI Number Detail
| NPI Number | 1861510109 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1331 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495061674 |
| Phone Number | 6164597215 |
| Fax Number | 6164510020 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801085834 |
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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 Emiley Jo Eisen?
The Emiley Jo Eisen has been issued the NPI (National Provider Identifier) 1861510109 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 Emiley Jo Eisen's facilities are geographically located?
The facilities of Emiley Jo Eisen are physically situated at the following location: 1331 Lake Dr Se, Grand Rapids, MI, 495061674.
What is the area of specialization for Emiley Jo Eisen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Emiley Jo Eisen is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861510109 to Emiley Jo Eisen?
The Centers for Medicare & Medicaid Services originally issued the 1861510109 to Emiley Jo Eisen on 2007-03-26.
When was the information pertaining to Emiley Jo Eisen most recently updated or revised?
The details related to Emiley Jo Eisen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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