Jane K Petrie in Saint Louis - Clinical

Jane K Petrie - NPI 1780690057

Jane K Petrie is a Clinical in Saint Louis, Missouri. Jane K Petrie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane K Petrie is 1780690057. The last update date is 2007-07-08.

Jane K Petrie's current location address is 1430 Olive St, Saint Louis, Missouri. You can contact this provider via phone number 3142063494 and fax number 3142063477. The mailing address for Jane K Petrie is 1430 Olive St, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane K Petrie
Address 1430 Olive St, Saint Louis, Missouri
Phone Number 3142063494
Fax Number 3142063477
Sole Proprietor N
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1780690057
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1430 Olive St
City Saint Louis
State Missouri (MO)
Post Code 631032303
Phone Number 3142063494
Fax Number 3142063477

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2000153542
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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FAQs about Jane K Petrie

What is the unique identifier code issued to Jane K Petrie by the Centers for Medicare & Medicaid Services?

The Jane K Petrie has been assigned the NPI (National Provider Identifier) 1780690057. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jane K Petrie is physically located?

The Jane K Petrie is physically situated at the following address: 1430 Olive St, Saint Louis, MO, 631032303.

What is Jane K Petrie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jane K Petrie is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780690057 to Jane K Petrie?

The Jane K Petrie received its 1780690057 assignment from the Centers for Medicare & Medicaid Services on 2006-07-31.

As of what date was the information regarding Jane K Petrie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jane K Petrie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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