Jeanne R Squires is a Clinical in Ronkonkoma, New York. Jeanne R Squires practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne R Squires is 1659452431. The last update date is 2007-07-09.
Jeanne R Squires's current location address is 21 Croydon Ave, Ronkonkoma, New York. You can contact this provider via phone number 6316967777 and fax number 6316961034. The mailing address for Jeanne R Squires is 21 Croydon Ave, Ronkonkoma, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne R Squires |
|---|---|
| Address | 21 Croydon Ave, Ronkonkoma, New York |
| Phone Number | 6316967777 |
| Fax Number | 6316961034 |
| Sole Proprietor | Y |
| Credentials | LCSW,BCD |
NPI Number Detail
| NPI Number | 1659452431 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 21 Croydon Ave |
|---|---|
| City | Ronkonkoma |
| State | New York (NY) |
| Post Code | 117791947 |
| Phone Number | 6316967777 |
| Fax Number | 6316961034 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R030677 |
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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 |
|---|---|---|---|
| 37412P | NY | HIP PROV NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jeanne R Squires by the Centers for Medicare & Medicaid Services?
The Jeanne R Squires has been assigned the NPI (National Provider Identifier) 1659452431. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeanne R Squires?
The Jeanne R Squires is situated at 21 Croydon Ave, in the city of Ronkonkoma, state of NY, with the zip code 117791947.
What is the area of specialization for Jeanne R Squires, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeanne R Squires is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659452431 to Jeanne R Squires?
The Centers for Medicare & Medicaid Services originally issued the 1659452431 to Jeanne R Squires on 2006-10-18.
When was the Jeanne R Squires's information last updated?
The Jeanne R Squires's information was last updated on 2007-07-09.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH