Jeannine Jacques in Portsmouth - Clinical

Jeannine Jacques - NPI 1194838979

Jeannine Jacques is a Clinical in Portsmouth, New Hampshire. Jeannine Jacques practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeannine Jacques is 1194838979. The last update date is 2007-07-08.

Jeannine Jacques's current location address is 5 Greenleaf Woods Dr Unit 201, Portsmouth, New Hampshire. You can contact this provider via phone number 6034337596. The mailing address for Jeannine Jacques is 5 Greenleaf Woods Dr Unit 201, Portsmouth, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeannine Jacques
Address 5 Greenleaf Woods Dr Unit 201, Portsmouth, New Hampshire
Phone Number 6034337596
Fax Number
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1194838979
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5 Greenleaf Woods Dr Unit 201
City Portsmouth
State New Hampshire (NH)
Post Code 38015442
Phone Number 6034337596
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 384
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
80002912 NH --
1407744Y0NH01 NH ANTHEM BC/BS OF NH

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FAQs about Jeannine Jacques

What is the unique provider identifier assigned to Jeannine Jacques?

The Jeannine Jacques has been issued the NPI (National Provider Identifier) 1194838979 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jeannine Jacques?

The Jeannine Jacques is physically situated at 5 Greenleaf Woods Dr Unit 201, in the city of Portsmouth, state of NH, with the postal code 38015442.

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

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

When did Jeannine Jacques receive its 1194838979 assignment?

The Jeannine Jacques was assigned its 1194838979 on 2006-08-16, which is the date when this unique identifier was issued to the organization.

When was the information related to Jeannine Jacques most recently updated or refreshed?

The details pertaining to the Jeannine Jacques, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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