Jennifer Marie Jacques in Bloomingburg - Clinical
Jennifer Marie Jacques - NPI 1134323116
Jennifer Marie Jacques is a Clinical in Bloomingburg, New York. Jennifer Marie Jacques practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Marie Jacques is 1134323116. The last update date is 2007-07-08.
Jennifer Marie Jacques's current location address is 531 Roosa Gap Rd, Bloomingburg, New York. You can contact this provider via phone number 7186520227. The mailing address for Jennifer Marie Jacques is 531 Roosa Gap Rd, Bloomingburg, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Marie Jacques |
|---|---|
| Address | 531 Roosa Gap Rd, Bloomingburg, New York |
| Phone Number | 7186520227 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134323116 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 531 Roosa Gap Rd |
|---|---|
| City | Bloomingburg |
| State | New York (NY) |
| Post Code | 127215124 |
| Phone Number | 7186520227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 70432 |
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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 Jennifer Marie Jacques's 1134323116?
The Jennifer Marie Jacques's NPI (National Provider Identifier) Number is 1134323116. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer Marie Jacques is located?
The Jennifer Marie Jacques is situated at the following address: 531 Roosa Gap Rd, Bloomingburg, NY, 127215124.
What is Jennifer Marie Jacques's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Marie Jacques is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134323116 to Jennifer Marie Jacques?
The Centers for Medicare & Medicaid Services originally issued the 1134323116 to Jennifer Marie Jacques on 2007-06-13.
As of what date was the information regarding Jennifer Marie Jacques, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Marie Jacques, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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