Jodelle Anne Wyckoff in Broadlands - Clinical
Jodelle Anne Wyckoff - NPI 1831354117
Jodelle Anne Wyckoff is a Clinical in Broadlands, Virginia. Jodelle Anne Wyckoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jodelle Anne Wyckoff is 1831354117. The last update date is 2023-05-26.
Jodelle Anne Wyckoff's current location address is 21000 Education Ct, Broadlands, Virginia. You can contact this provider via phone number 5712521011. The mailing address for Jodelle Anne Wyckoff is 21000 Education Ct, Broadlands, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodelle Anne Wyckoff |
|---|---|
| Address | 21000 Education Ct, Broadlands, Virginia |
| Phone Number | 5712521011 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1831354117 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2023-05-26 |
Provider Mailing Address Detail
| Address | 21000 Education Ct |
|---|---|
| City | Broadlands |
| State | Virginia (VA) |
| Post Code | 201485526 |
| Phone Number | 5712521011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004399 |
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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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What is the unique identifier code issued to Jodelle Anne Wyckoff by the Centers for Medicare & Medicaid Services?
The Jodelle Anne Wyckoff has been assigned the NPI (National Provider Identifier) 1831354117. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jodelle Anne Wyckoff?
The Jodelle Anne Wyckoff is situated at 21000 Education Ct, in the city of Broadlands, state of VA, with the zip code 201485526.
What is Jodelle Anne Wyckoff's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jodelle Anne Wyckoff's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Jodelle Anne Wyckoff receive its 1831354117 assignment from the Centers for Medicare & Medicaid Services?
The Jodelle Anne Wyckoff was assigned its 1831354117 on 2008-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jodelle Anne Wyckoff most recently updated or refreshed?
The details pertaining to the Jodelle Anne Wyckoff, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-05-26.