Jillyn Kneeland Burk in Salt Lake City - Clinical
Jillyn Kneeland Burk - NPI 1417124595
Jillyn Kneeland Burk is a Clinical in Salt Lake City, Utah. Jillyn Kneeland Burk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jillyn Kneeland Burk is 1417124595. The last update date is 2015-05-01.
Jillyn Kneeland Burk's current location address is 5965 S 900 E, Salt Lake City, Utah. You can contact this provider via phone number 8012637138. The mailing address for Jillyn Kneeland Burk is 5965 S 900 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jillyn Kneeland Burk |
|---|---|
| Address | 5965 S 900 E, Salt Lake City, Utah |
| Phone Number | 8012637138 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417124595 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2015-05-01 |
Provider Mailing Address Detail
| Address | 5965 S 900 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841211720 |
| Phone Number | 8012637138 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6935666-3501 |
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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 |
|---|---|---|---|
| 65887 | UT | PTAN |
Post Comment/ Review Below
What is the Jillyn Kneeland Burk's unique identification number?
The Jillyn Kneeland Burk has been assigned the NPI (National Provider Identifier) Number 1417124595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jillyn Kneeland Burk's facilities are situated?
The facilities of Jillyn Kneeland Burk are physically located at the following address: 5965 S 900 E, Salt Lake City, UT, 841211720.
What is the Jillyn Kneeland Burk's specialty and taxonomy code?
The Jillyn Kneeland Burk's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417124595 to Jillyn Kneeland Burk?
The Centers for Medicare & Medicaid Services assigned the 1417124595 to Jillyn Kneeland Burk on 2008-05-08.
As of what date was the information regarding Jillyn Kneeland Burk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jillyn Kneeland Burk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-01.
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