Jonathan Lebolt is a Clinical in West Orange, New Jersey. Jonathan Lebolt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan Lebolt is 1639125446. The last update date is 2022-12-14.
Jonathan Lebolt's current location address is 38 Cerone Ct, West Orange, New Jersey. You can contact this provider via phone number 9735244917. The mailing address for Jonathan Lebolt is 38 Cerone Ct, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Lebolt |
|---|---|
| Address | 38 Cerone Ct, West Orange, New Jersey |
| Phone Number | 9735244917 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, LCSW, |
NPI Number Detail
| NPI Number | 1639125446 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-12-14 |
Provider Mailing Address Detail
| Address | 38 Cerone Ct |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 70524113 |
| Phone Number | 9735244917 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20618 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathan Lebolt?
The Jonathan Lebolt has been issued the NPI (National Provider Identifier) 1639125446 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 location address where Jonathan Lebolt's facilities are situated?
The facilities of Jonathan Lebolt are physically located at the following address: 38 Cerone Ct, West Orange, NJ, 70524113.
What is Jonathan Lebolt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jonathan Lebolt is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Jonathan Lebolt receive its 1639125446 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Lebolt was assigned its 1639125446 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details related to Jonathan Lebolt most recently updated or revised?
The information pertaining to Jonathan Lebolt, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-14.