Jacquelyn Clearwater Weaver in Elmira - Clinical
Jacquelyn Clearwater Weaver - NPI 1841481892
Jacquelyn Clearwater Weaver is a Clinical in Elmira, New York. Jacquelyn Clearwater Weaver practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn Clearwater Weaver is 1841481892. The last update date is 2012-03-09.
Jacquelyn Clearwater Weaver's current location address is 116 Glen Ave, Elmira, New York. You can contact this provider via phone number 6077341873. The mailing address for Jacquelyn Clearwater Weaver is 116 Glen Ave, Elmira, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Clearwater Weaver |
|---|---|
| Address | 116 Glen Ave, Elmira, New York |
| Phone Number | 6077341873 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1841481892 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2012-03-09 |
Provider Mailing Address Detail
| Address | 116 Glen Ave |
|---|---|
| City | Elmira |
| State | New York (NY) |
| Post Code | 149051935 |
| Phone Number | 6077341873 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 079332-1 |
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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 identifier code issued to Jacquelyn Clearwater Weaver by the Centers for Medicare & Medicaid Services?
The Jacquelyn Clearwater Weaver has been assigned the NPI (National Provider Identifier) 1841481892. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacquelyn Clearwater Weaver's physical address?
The Jacquelyn Clearwater Weaver is physically located at 116 Glen Ave, in the city of Elmira, NY, with the postal code 149051935.
What is the area of specialization for Jacquelyn Clearwater Weaver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacquelyn Clearwater Weaver is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jacquelyn Clearwater Weaver receive its 1841481892 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn Clearwater Weaver was assigned its 1841481892 by the Centers for Medicare & Medicaid Services on 2007-08-06.
As of what date were the Jacquelyn Clearwater Weaver's details last updated?
The information pertaining to the Jacquelyn Clearwater Weaver, including its address, specialty, and other details, was most recently updated on 2012-03-09.