Jacalyn Michele Konrad in Clifton - Clinical
Jacalyn Michele Konrad - NPI 1336162189
Jacalyn Michele Konrad is a Clinical in Clifton, New Jersey. Jacalyn Michele Konrad practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacalyn Michele Konrad is 1336162189. The last update date is 2007-07-08.
Jacalyn Michele Konrad's current location address is 128 Mahar Ave, Clifton, New Jersey. You can contact this provider via phone number 9734782468. The mailing address for Jacalyn Michele Konrad is 128 Mahar Ave, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacalyn Michele Konrad |
|---|---|
| Address | 128 Mahar Ave, Clifton, New Jersey |
| Phone Number | 9734782468 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1336162189 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 128 Mahar Ave |
|---|---|
| City | Clifton |
| State | New Jersey (NJ) |
| Post Code | 7011 |
| Phone Number | 9734782468 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05170900 |
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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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What is the unique provider identifier assigned to Jacalyn Michele Konrad?
The Jacalyn Michele Konrad has been issued the NPI (National Provider Identifier) 1336162189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jacalyn Michele Konrad is geographically located?
The Jacalyn Michele Konrad is physically situated at the following location: 128 Mahar Ave, Clifton, NJ, 7011.
What is Jacalyn Michele Konrad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacalyn Michele Konrad's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336162189 to Jacalyn Michele Konrad?
The Centers for Medicare & Medicaid Services assigned the 1336162189 to Jacalyn Michele Konrad on 2006-07-25.
When was the Jacalyn Michele Konrad's information last updated?
The Jacalyn Michele Konrad's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC