Jay Richard Shilling in Johnson City - Clinical
Jay Richard Shilling - NPI 1063403533
Jay Richard Shilling is a Clinical in Johnson City, Tennessee. Jay Richard Shilling practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jay Richard Shilling is 1063403533. The last update date is 2007-07-08.
Jay Richard Shilling's current location address is Po Box 1166, Johnson City, Tennessee. You can contact this provider via phone number 4239796265 and fax number 4239796285. The mailing address for Jay Richard Shilling is Po Box 1166, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Richard Shilling |
|---|---|
| Address | Po Box 1166, Johnson City, Tennessee |
| Phone Number | 4239796265 |
| Fax Number | 4239796285 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063403533 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1166 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376051166 |
| Phone Number | 4239796265 |
| Fax Number | 4239796285 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW00091 |
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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 |
|---|---|---|---|
| 47574 | CIGNA | ||
| 5426182 | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jay Richard Shilling by the Centers for Medicare & Medicaid Services?
The Jay Richard Shilling has been assigned the NPI (National Provider Identifier) 1063403533 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jay Richard Shilling's facilities are geographically located?
The facilities of Jay Richard Shilling are physically situated at the following location: Po Box 1166, Johnson City, TN, 376051166.
What is Jay Richard Shilling's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Richard Shilling'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 originally issue the 1063403533 to Jay Richard Shilling?
The Centers for Medicare & Medicaid Services originally issued the 1063403533 to Jay Richard Shilling on 2005-11-02.
As of what date was the information pertaining to Jay Richard Shilling, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jay Richard Shilling, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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