Jacqulyn M. Skinner is a Clinical in Inman, South Carolina. Jacqulyn M. Skinner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqulyn M. Skinner is 1255543799. The last update date is 2014-03-10.
Jacqulyn M. Skinner's current location address is 4 Littlefield St, Inman, South Carolina. You can contact this provider via phone number 8646121500 and fax number 8645422324. The mailing address for Jacqulyn M. Skinner is 4 Littlefield St, Inman, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqulyn M. Skinner |
|---|---|
| Address | 4 Littlefield St, Inman, South Carolina |
| Phone Number | 8646121500 |
| Fax Number | 8645422324 |
| Sole Proprietor | Y |
| Credentials | LISW-CP |
NPI Number Detail
| NPI Number | 1255543799 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2014-03-10 |
Provider Mailing Address Detail
| Address | 4 Littlefield St |
|---|---|
| City | Inman |
| State | South Carolina (SC) |
| Post Code | 293491430 |
| Phone Number | 8646121500 |
| Fax Number | 8645422324 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6994 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q351330281 | SC | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacqulyn M. Skinner by the Centers for Medicare & Medicaid Services?
The Jacqulyn M. Skinner has been issued the NPI (National Provider Identifier) 1255543799 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jacqulyn M. Skinner is physically located?
The Jacqulyn M. Skinner is physically situated at the following address: 4 Littlefield St, Inman, SC, 293491430.
What is Jacqulyn M. Skinner's area of expertise and its corresponding taxonomy classification?
The Jacqulyn M. Skinner's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1255543799 assigned to Jacqulyn M. Skinner?
The Jacqulyn M. Skinner was issued its 1255543799 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jacqulyn M. Skinner last refreshed?
The information related to the Jacqulyn M. Skinner, including its address, specialty, and other relevant details, was last updated on 2014-03-10.