Jacquelyn Malloy Simmons in Manlius - Clinical
Jacquelyn Malloy Simmons - NPI 1629085402
Jacquelyn Malloy Simmons is a Clinical in Manlius, New York. Jacquelyn Malloy Simmons practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn Malloy Simmons is 1629085402. The last update date is 2007-07-08.
Jacquelyn Malloy Simmons's current location address is 8223 Verbeck Dr, Manlius, New York. You can contact this provider via phone number 3154303933. The mailing address for Jacquelyn Malloy Simmons is 8223 Verbeck Dr, Manlius, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Malloy Simmons |
|---|---|
| Address | 8223 Verbeck Dr, Manlius, New York |
| Phone Number | 3154303933 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW BCD |
NPI Number Detail
| NPI Number | 1629085402 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8223 Verbeck Dr |
|---|---|
| City | Manlius |
| State | New York (NY) |
| Post Code | 131049311 |
| Phone Number | 3154303933 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R016898 |
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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 Malloy Simmons by the Centers for Medicare & Medicaid Services?
The Jacquelyn Malloy Simmons has been assigned the NPI (National Provider Identifier) 1629085402. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jacquelyn Malloy Simmons is geographically located?
The Jacquelyn Malloy Simmons is physically situated at the following location: 8223 Verbeck Dr, Manlius, NY, 131049311.
What is the Jacquelyn Malloy Simmons's specialty and taxonomy code?
The Jacquelyn Malloy Simmons's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Jacquelyn Malloy Simmons receive its 1629085402 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn Malloy Simmons was assigned its 1629085402 on 2006-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jacquelyn Malloy Simmons last refreshed?
The information related to the Jacquelyn Malloy Simmons, including its address, specialty, and other relevant details, was last updated on 2007-07-08.