David Blaine Jensen in Central Valley - Clinical
David Blaine Jensen - NPI 1306986013
David Blaine Jensen is a Clinical in Central Valley, Utah. David Blaine Jensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Blaine Jensen is 1306986013. The last update date is 2018-10-29.
David Blaine Jensen's current location address is 771 N Main St, Central Valley, Utah. You can contact this provider via phone number 4352019228 and fax number 4358968769. The mailing address for David Blaine Jensen is 771 N Main St, Central Valley, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Blaine Jensen |
|---|---|
| Address | 771 N Main St, Central Valley, Utah |
| Phone Number | 4352019228 |
| Fax Number | 4358968769 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306986013 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2018-10-29 |
Provider Mailing Address Detail
| Address | 771 N Main St |
|---|---|
| City | Central Valley |
| State | Utah (UT) |
| Post Code | 847543119 |
| Phone Number | 4352019228 |
| Fax Number | 4358968769 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1415763501 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Blaine Jensen by the Centers for Medicare & Medicaid Services?
The David Blaine Jensen has been issued the NPI (National Provider Identifier) 1306986013, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David Blaine Jensen's facilities are situated?
The facilities of David Blaine Jensen are physically located at the following address: 771 N Main St, Central Valley, UT, 847543119.
What is David Blaine Jensen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Blaine Jensen is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the David Blaine Jensen receive its 1306986013 assignment from the Centers for Medicare & Medicaid Services?
The David Blaine Jensen was assigned its 1306986013 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information related to David Blaine Jensen most recently updated or refreshed?
The details pertaining to the David Blaine Jensen, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-29.