Jerrold Lee Brucker in Allentown - Clinical
Jerrold Lee Brucker - NPI 1659381606
Jerrold Lee Brucker is a Clinical in Allentown, Pennsylvania. Jerrold Lee Brucker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerrold Lee Brucker is 1659381606. The last update date is 2011-04-29.
Jerrold Lee Brucker's current location address is 3037 S Pike Ave, Allentown, Pennsylvania. You can contact this provider via phone number 6107302744. The mailing address for Jerrold Lee Brucker is 3037 S Pike Ave, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerrold Lee Brucker |
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Address | 3037 S Pike Ave, Allentown, Pennsylvania |
Phone Number | 6107302744 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1659381606 |
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Provider Enumeration Date | 2006-08-09 |
Last Updated Date | 2011-04-29 |
Provider Mailing Address Detail
Address | 3037 S Pike Ave |
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City | Allentown |
State | Pennsylvania (PA) |
Post Code | 181037650 |
Phone Number | 6107302744 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CW014557 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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70975930002 | PA | -- |
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What is the unique provider identifier assigned to Jerrold Lee Brucker?
The Jerrold Lee Brucker has been issued the NPI (National Provider Identifier) 1659381606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jerrold Lee Brucker located?
The Jerrold Lee Brucker is located at 3037 S Pike Ave, Allentown, PA 181037650.
What is the area of specialization for Jerrold Lee Brucker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerrold Lee Brucker is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jerrold Lee Brucker receive its 1659381606 assignment from the Centers for Medicare & Medicaid Services?
The Jerrold Lee Brucker was assigned its 1659381606 by the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information pertaining to Jerrold Lee Brucker most recently updated or revised?
The details related to Jerrold Lee Brucker, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-29.