Mabel Ann Jentzsch in Salt Lake City - Clinical

Mabel Ann Jentzsch - NPI 1326020512

Mabel Ann Jentzsch is a Clinical in Salt Lake City, Utah. Mabel Ann Jentzsch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mabel Ann Jentzsch is 1326020512. The last update date is 2012-10-18.

Mabel Ann Jentzsch's current location address is 501 E Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8012367710 and fax number 8012367707. The mailing address for Mabel Ann Jentzsch is 501 E Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Mabel Ann Jentzsch
Address 501 E Chipeta Way, Salt Lake City, Utah
Phone Number 8012367710
Fax Number 8012367707
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1326020512
Provider Enumeration Date 2005-11-15
Last Updated Date 2012-10-18

Provider Mailing Address Detail

Address 501 E Chipeta Way
City Salt Lake City
State Utah (UT)
Post Code 841081222
Phone Number 8012367710
Fax Number 8012367707

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 138487-3501
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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FAQs about Mabel Ann Jentzsch

What is the unique 10-digit identifier code assigned to Mabel Ann Jentzsch by the Centers for Medicare & Medicaid Services?

The Mabel Ann Jentzsch has been issued the NPI (National Provider Identifier) 1326020512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Mabel Ann Jentzsch is located?

The Mabel Ann Jentzsch is situated at the following address: 501 E Chipeta Way, Salt Lake City, UT, 841081222.

What is Mabel Ann Jentzsch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mabel Ann Jentzsch is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did Mabel Ann Jentzsch receive its 1326020512 assignment from the Centers for Medicare & Medicaid Services?

The Mabel Ann Jentzsch was assigned its 1326020512 on 2005-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mabel Ann Jentzsch's information last updated?

The Mabel Ann Jentzsch's information was last updated on 2012-10-18.

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