Mark Jimerson is a Clinical in Carolina, Puerto Rico. Mark Jimerson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Jimerson is 1649317041. The last update date is 2018-08-13.
Mark Jimerson's current location address is Po Box 79872, Carolina, Puerto Rico. You can contact this provider via phone number 4136365691. The mailing address for Mark Jimerson is Po Box 79872, Carolina, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Jimerson |
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Address | Po Box 79872, Carolina, Puerto Rico |
Phone Number | 4136365691 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1649317041 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2018-08-13 |
Provider Mailing Address Detail
Address | Po Box 79872 |
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City | Carolina |
State | Puerto Rico (PR) |
Post Code | 9849872 |
Phone Number | 4136365691 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1030600 |
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 identification code assigned to Mark Jimerson by the Centers for Medicare & Medicaid Services?
The Mark Jimerson has been issued the NPI (National Provider Identifier) 1649317041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Jimerson is physically located?
The Mark Jimerson is physically situated at the following address: Po Box 79872, Carolina, PR, 9849872.
What is Mark Jimerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Jimerson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649317041 to Mark Jimerson?
The Centers for Medicare & Medicaid Services assigned the 1649317041 to Mark Jimerson on 2007-02-01.
As of what date were the details related to Mark Jimerson most recently updated or revised?
The information pertaining to Mark Jimerson, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-13.