Jennifer Avery Leopold in Minneapolis - Clinical

Jennifer Avery Leopold - NPI 1386713071

Jennifer Avery Leopold is a Clinical in Minneapolis, Minnesota. Jennifer Avery Leopold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Avery Leopold is 1386713071. The last update date is 2007-07-08.

Jennifer Avery Leopold's current location address is 2304 Oliver Avenue South, Minneapolis, Minnesota. You can contact this provider via phone number 6127189327 and fax number 6128224477. The mailing address for Jennifer Avery Leopold is 2304 Oliver Avenue South, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Avery Leopold
Address 2304 Oliver Avenue South, Minneapolis, Minnesota
Phone Number 6127189327
Fax Number 6128224477
Sole Proprietor N
Credentials MSW LICSW

NPI Number Detail

NPI Number 1386713071
Provider Enumeration Date 2006-11-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2304 Oliver Avenue South
City Minneapolis
State Minnesota (MN)
Post Code 55405
Phone Number 6127189327
Fax Number 6128224477

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 10481
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6249141 MN UBH MEDICA
385S7LE MN BLUE CROSS BLUE SHIELD

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FAQs about Jennifer Avery Leopold

What is the Jennifer Avery Leopold's 1386713071?

The Jennifer Avery Leopold's NPI (National Provider Identifier) Number is 1386713071. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jennifer Avery Leopold is physically located?

The Jennifer Avery Leopold is physically situated at the following address: 2304 Oliver Avenue South, Minneapolis, MN, 55405.

What is the Jennifer Avery Leopold's area of specialization and corresponding taxonomy classification?

The Jennifer Avery Leopold'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 Centers for Medicare & Medicaid Services issue the 1386713071 to Jennifer Avery Leopold?

The Jennifer Avery Leopold received its 1386713071 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date were the Jennifer Avery Leopold's details last updated?

The information pertaining to the Jennifer Avery Leopold, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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