Jeanne V Crockett in Fort Worth - Clinical
Jeanne V Crockett - NPI 1306909890
Jeanne V Crockett is a Clinical in Fort Worth, Texas. Jeanne V Crockett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne V Crockett is 1306909890. The last update date is 2011-01-19.
Jeanne V Crockett's current location address is 3840 Hulen St, Fort Worth, Texas. You can contact this provider via phone number 8175694395 and fax number 8175694517. The mailing address for Jeanne V Crockett is 3840 Hulen St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne V Crockett |
|---|---|
| Address | 3840 Hulen St, Fort Worth, Texas |
| Phone Number | 8175694395 |
| Fax Number | 8175694517 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1306909890 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2011-01-19 |
Provider Mailing Address Detail
| Address | 3840 Hulen St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761077277 |
| Phone Number | 8175694395 |
| Fax Number | 8175694517 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S27688 |
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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 |
|---|---|---|---|
| 71171502 | TX | -- | |
| 71171504 | TX | -- | |
| 71171503 | TX | -- | |
| 87607Q | TX | BCBS TX PROVIDER# |
Post Comment/ Review Below
What is the Jeanne V Crockett's unique identification number?
The Jeanne V Crockett has been assigned the NPI (National Provider Identifier) Number 1306909890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jeanne V Crockett's facilities are geographically located?
The facilities of Jeanne V Crockett are physically situated at the following location: 3840 Hulen St, Fort Worth, TX, 761077277.
What is the area of specialization for Jeanne V Crockett, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeanne V Crockett is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jeanne V Crockett receive the assignment of its 1306909890 from the Centers for Medicare & Medicaid Services?
The Jeanne V Crockett was issued its 1306909890 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information regarding Jeanne V Crockett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeanne V Crockett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-19.
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