Jack De Santis is a Clinical in Commack, New York. Jack De Santis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack De Santis is 1245398197. The last update date is 2007-07-08.
Jack De Santis's current location address is 368 Veterans Memorial Highway, Commack, New York. You can contact this provider via phone number 6315438779 and fax number 6313618865. The mailing address for Jack De Santis is 368 Veterans Memorial Highway, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack De Santis |
|---|---|
| Address | 368 Veterans Memorial Highway, Commack, New York |
| Phone Number | 6315438779 |
| Fax Number | 6313618865 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1245398197 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 368 Veterans Memorial Highway |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117254315 |
| Phone Number | 6315438779 |
| Fax Number | 6313618865 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR0047581 |
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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 identification code assigned to Jack De Santis by the Centers for Medicare & Medicaid Services?
The Jack De Santis has been issued the NPI (National Provider Identifier) 1245398197. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack De Santis located?
The Jack De Santis is located at 368 Veterans Memorial Highway, Commack, NY 117254315.
What is the Jack De Santis's specialty and taxonomy code?
The Jack De Santis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1245398197 assigned to Jack De Santis?
The Jack De Santis was issued its 1245398197 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jack De Santis last refreshed?
The information related to the Jack De Santis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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