Jackie M Colaizy in New Brighton - Clinical
Jackie M Colaizy - NPI 1265493167
Jackie M Colaizy is a Clinical in New Brighton, Minnesota. Jackie M Colaizy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jackie M Colaizy is 1265493167. The last update date is 2016-04-13.
Jackie M Colaizy's current location address is 1900 Silver Lake Road Nw, New Brighton, Minnesota. You can contact this provider via phone number 6516289566 and fax number 6516280411. The mailing address for Jackie M Colaizy is 1900 Silver Lake Road Nw, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie M Colaizy |
|---|---|
| Address | 1900 Silver Lake Road Nw, New Brighton, Minnesota |
| Phone Number | 6516289566 |
| Fax Number | 6516280411 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1265493167 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2016-04-13 |
Provider Mailing Address Detail
| Address | 1900 Silver Lake Road Nw |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 55112 |
| Phone Number | 6516289566 |
| Fax Number | 6516280411 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1727 |
|
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 |
|---|---|---|---|
| 320477400 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jackie M Colaizy by the Centers for Medicare & Medicaid Services?
The Jackie M Colaizy has been issued the NPI (National Provider Identifier) 1265493167. 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 address where Jackie M Colaizy is physically located?
The Jackie M Colaizy is situated at the following address: 1900 Silver Lake Road Nw, New Brighton, MN 55112.
What is Jackie M Colaizy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jackie M Colaizy is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Jackie M Colaizy receive its 1265493167?
The Jackie M Colaizy was issued its 1265493167 on 2006-03-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jackie M Colaizy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jackie M Colaizy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-04-13.