Bernadette M Jackson in Collegeville - Clinical
Bernadette M Jackson - NPI 1750438495
Bernadette M Jackson is a Clinical in Collegeville, Pennsylvania. Bernadette M Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bernadette M Jackson is 1750438495. The last update date is 2007-07-08.
Bernadette M Jackson's current location address is 33 N Grange Ave, Collegeville, Pennsylvania. You can contact this provider via phone number 6105390665 and fax number 6105396472. The mailing address for Bernadette M Jackson is 33 N Grange Ave, Collegeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernadette M Jackson |
|---|---|
| Address | 33 N Grange Ave, Collegeville, Pennsylvania |
| Phone Number | 6105390665 |
| Fax Number | 6105396472 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750438495 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 33 N Grange Ave |
|---|---|
| City | Collegeville |
| State | Pennsylvania (PA) |
| Post Code | 194263136 |
| Phone Number | 6105390665 |
| Fax Number | 6105396472 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW012137 |
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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 identifier code issued to Bernadette M Jackson by the Centers for Medicare & Medicaid Services?
The Bernadette M Jackson has been assigned the NPI (National Provider Identifier) 1750438495 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bernadette M Jackson located?
The Bernadette M Jackson is located at 33 N Grange Ave, Collegeville, PA 194263136.
What is Bernadette M Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bernadette M Jackson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750438495 to Bernadette M Jackson?
The Bernadette M Jackson received its 1750438495 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details pertaining to Bernadette M Jackson last refreshed?
The information related to the Bernadette M Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.