Nan Jacobson Wise in South Orange - Clinical
Nan Jacobson Wise - NPI 1922148832
Nan Jacobson Wise is a Clinical in South Orange, New Jersey. Nan Jacobson Wise practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nan Jacobson Wise is 1922148832. The last update date is 2007-07-08.
Nan Jacobson Wise's current location address is 15 Village Plz, South Orange, New Jersey. You can contact this provider via phone number 9736320625. The mailing address for Nan Jacobson Wise is 15 Village Plz, South Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nan Jacobson Wise |
|---|---|
| Address | 15 Village Plz, South Orange, New Jersey |
| Phone Number | 9736320625 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1922148832 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Village Plz |
|---|---|
| City | South Orange |
| State | New Jersey (NJ) |
| Post Code | 70792818 |
| Phone Number | 9736320625 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00187000 |
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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 Nan Jacobson Wise's unique identification number?
The Nan Jacobson Wise has been assigned the NPI (National Provider Identifier) Number 1922148832 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Nan Jacobson Wise located?
The Nan Jacobson Wise is located at 15 Village Plz, South Orange, NJ 70792818.
What is Nan Jacobson Wise's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nan Jacobson Wise is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Nan Jacobson Wise receive its 1922148832 assignment from the Centers for Medicare & Medicaid Services?
The Nan Jacobson Wise was assigned its 1922148832 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information regarding Nan Jacobson Wise most recently updated?
The details pertaining to the Nan Jacobson Wise, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA