Jessica Lynn Bootman in Albany - Clinical
Jessica Lynn Bootman - NPI 1336395730
Jessica Lynn Bootman is a Clinical in Albany, New York. Jessica Lynn Bootman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Lynn Bootman is 1336395730. The last update date is 2008-08-18.
Jessica Lynn Bootman's current location address is 60 Academy Rd, Albany, New York. You can contact this provider via phone number 5184262733 and fax number 5184262893. The mailing address for Jessica Lynn Bootman is 60 Academy Rd, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Bootman |
|---|---|
| Address | 60 Academy Rd, Albany, New York |
| Phone Number | 5184262733 |
| Fax Number | 5184262893 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1336395730 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 60 Academy Rd |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 122083103 |
| Phone Number | 5184262733 |
| Fax Number | 5184262893 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 073627-1 |
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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 10-digit identification code issued to Jessica Lynn Bootman by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Bootman has been assigned the NPI (National Provider Identifier) 1336395730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jessica Lynn Bootman is physically located?
The Jessica Lynn Bootman is physically situated at the following address: 60 Academy Rd, Albany, NY, 122083103.
What is the area of specialization for Jessica Lynn Bootman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica Lynn Bootman 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 1336395730 to Jessica Lynn Bootman?
The Centers for Medicare & Medicaid Services originally issued the 1336395730 to Jessica Lynn Bootman on 2008-08-18.
As of what date were the details pertaining to Jessica Lynn Bootman last refreshed?
The information related to the Jessica Lynn Bootman, including its address, specialty, and other relevant details, was last updated on 2008-08-18.
NPI Number: 1215930573
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