Jennifer J Ervine in Wilkes-barre - Clinical

Jennifer J Ervine - NPI 1790705895

Jennifer J Ervine is a Clinical in Wilkes-barre, Pennsylvania. Jennifer J Ervine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer J Ervine is 1790705895. The last update date is 2009-08-06.

Jennifer J Ervine's current location address is 110 South Pennsylvania Avenue, Wilkes-barre, Pennsylvania. You can contact this provider via phone number 5705523900 and fax number 5705523907. The mailing address for Jennifer J Ervine is 110 South Pennsylvania Avenue, Wilkes-barre, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer J Ervine
Address 110 South Pennsylvania Avenue, Wilkes-barre, Pennsylvania
Phone Number 5705523900
Fax Number 5705523907
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1790705895
Provider Enumeration Date 2006-07-20
Last Updated Date 2009-08-06

Provider Mailing Address Detail

Address 110 South Pennsylvania Avenue
City Wilkes-barre
State Pennsylvania (PA)
Post Code 187013301
Phone Number 5705523900
Fax Number 5705523907

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW015081
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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FAQs about Jennifer J Ervine

What is the unique provider identifier assigned to Jennifer J Ervine?

The Jennifer J Ervine has been issued the NPI (National Provider Identifier) 1790705895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jennifer J Ervine?

The Jennifer J Ervine is situated at 110 South Pennsylvania Avenue, in the city of Wilkes-Barre, state of PA, with the zip code 187013301.

What is Jennifer J Ervine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer J Ervine is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did Jennifer J Ervine receive its 1790705895 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer J Ervine was assigned its 1790705895 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jennifer J Ervine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jennifer J Ervine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-06.

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