Jeffrey William Emrick in Bend - Clinical
Jeffrey William Emrick - NPI 1093915324
Jeffrey William Emrick is a Clinical in Bend, Oregon. Jeffrey William Emrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey William Emrick is 1093915324. The last update date is 2012-04-09.
Jeffrey William Emrick's current location address is 2965 Ne Conners Ave, Bend, Oregon. You can contact this provider via phone number 5423308896 and fax number 5413308948. The mailing address for Jeffrey William Emrick is 2965 Ne Conners Ave, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey William Emrick |
|---|---|
| Address | 2965 Ne Conners Ave, Bend, Oregon |
| Phone Number | 5423308896 |
| Fax Number | 5413308948 |
| Sole Proprietor | Y |
| Credentials | LCSW, CADC |
NPI Number Detail
| NPI Number | 1093915324 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2012-04-09 |
Provider Mailing Address Detail
| Address | 2965 Ne Conners Ave |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017753 |
| Phone Number | 5423308896 |
| Fax Number | 5413308948 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3798 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey William Emrick by the Centers for Medicare & Medicaid Services?
The Jeffrey William Emrick has been issued the NPI (National Provider Identifier) 1093915324 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey William Emrick is physically located?
The Jeffrey William Emrick is physically situated at the following address: 2965 Ne Conners Ave, Bend, OR, 977017753.
What is the Jeffrey William Emrick's area of specialization and corresponding taxonomy classification?
The Jeffrey William Emrick's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Jeffrey William Emrick receive its 1093915324 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey William Emrick was assigned its 1093915324 on 2007-07-24, 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 related to Jeffrey William Emrick most recently updated or revised?
The information pertaining to Jeffrey William Emrick, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY