Jennifer O'Sullivan is a Clinical in Bend, Oregon. Jennifer O'Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer O'Sullivan is 1528254018. The last update date is 2020-07-01.
Jennifer O'Sullivan's current location address is 3026 Ne Laramie Way, Bend, Oregon. You can contact this provider via phone number 5417283171. The mailing address for Jennifer O'Sullivan is 3026 Ne Laramie Way, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer O'Sullivan |
|---|---|
| Address | 3026 Ne Laramie Way, Bend, Oregon |
| Phone Number | 5417283171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528254018 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2020-07-01 |
Provider Mailing Address Detail
| Address | 3026 Ne Laramie Way |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977016270 |
| Phone Number | 5417283171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW60668237 |
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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 Jennifer O'Sullivan by the Centers for Medicare & Medicaid Services?
The Jennifer O'Sullivan has been assigned the NPI (National Provider Identifier) 1528254018. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer O'Sullivan's facilities are geographically located?
The facilities of Jennifer O'Sullivan are physically situated at the following location: 3026 Ne Laramie Way, Bend, OR, 977016270.
What is Jennifer O'Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer O'Sullivan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528254018 to Jennifer O'Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1528254018 to Jennifer O'Sullivan on 2007-09-19.
When was the Jennifer O'Sullivan's information last updated?
The Jennifer O'Sullivan's information was last updated on 2020-07-01.