Kelli Clark Jacobsen in Salt Lake City - Clinical
Kelli Clark Jacobsen - NPI 1871636043
Kelli Clark Jacobsen is a Clinical in Salt Lake City, Utah. Kelli Clark Jacobsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelli Clark Jacobsen is 1871636043. The last update date is 2010-10-18.
Kelli Clark Jacobsen's current location address is 450 S 900 E Ste 300, Salt Lake City, Utah. You can contact this provider via phone number 8015347916 and fax number 8015323608. The mailing address for Kelli Clark Jacobsen is 450 S 900 E Ste 300, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Clark Jacobsen |
|---|---|
| Address | 450 S 900 E Ste 300, Salt Lake City, Utah |
| Phone Number | 8015347916 |
| Fax Number | 8015323608 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871636043 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2010-10-18 |
Provider Mailing Address Detail
| Address | 450 S 900 E Ste 300 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841023064 |
| Phone Number | 8015347916 |
| Fax Number | 8015323608 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6953774-3501 |
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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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Post Comment/ Review Below
What is the Kelli Clark Jacobsen's 1871636043?
The Kelli Clark Jacobsen's NPI (National Provider Identifier) Number is 1871636043. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelli Clark Jacobsen is geographically located?
The Kelli Clark Jacobsen is physically situated at the following location: 450 S 900 E Ste 300, Salt Lake City, UT, 841023064.
What is Kelli Clark Jacobsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelli Clark Jacobsen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871636043 to Kelli Clark Jacobsen?
The Kelli Clark Jacobsen received its 1871636043 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information related to Kelli Clark Jacobsen most recently updated or refreshed?
The details pertaining to the Kelli Clark Jacobsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-18.
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