Jessica L Charbonneau in Auburn - Clinical
Jessica L Charbonneau - NPI 1134231160
Jessica L Charbonneau is a Clinical in Auburn, New York. Jessica L Charbonneau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica L Charbonneau is 1134231160. The last update date is 2011-05-20.
Jessica L Charbonneau's current location address is 144 Genesee St, Auburn, New York. You can contact this provider via phone number 3152589455 and fax number 3152589456. The mailing address for Jessica L Charbonneau is 144 Genesee St, Auburn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L Charbonneau |
|---|---|
| Address | 144 Genesee St, Auburn, New York |
| Phone Number | 3152589455 |
| Fax Number | 3152589456 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134231160 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 144 Genesee St |
|---|---|
| City | Auburn |
| State | New York (NY) |
| Post Code | 130213503 |
| Phone Number | 3152589455 |
| Fax Number | 3152589456 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 64574 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64574 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessica L Charbonneau?
The Jessica L Charbonneau has been issued the NPI (National Provider Identifier) 1134231160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jessica L Charbonneau?
The Jessica L Charbonneau is situated at 144 Genesee St, in the city of Auburn, state of NY, with the zip code 130213503.
What is the Jessica L Charbonneau's area of specialization and corresponding taxonomy classification?
The Jessica L Charbonneau's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1134231160 to Jessica L Charbonneau?
The Jessica L Charbonneau received its 1134231160 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details related to Jessica L Charbonneau most recently updated or revised?
The information pertaining to Jessica L Charbonneau, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-20.