Jerry William Maccauley in Chesapeake - Clinical
Jerry William Maccauley - NPI 1083611032
Jerry William Maccauley is a Clinical in Chesapeake, Virginia. Jerry William Maccauley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry William Maccauley is 1083611032. The last update date is 2007-07-08.
Jerry William Maccauley's current location address is 411 Cedar Rd, Chesapeake, Virginia. You can contact this provider via phone number 7575488848 and fax number 7575491347. The mailing address for Jerry William Maccauley is 411 Cedar Rd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry William Maccauley |
|---|---|
| Address | 411 Cedar Rd, Chesapeake, Virginia |
| Phone Number | 7575488848 |
| Fax Number | 7575491347 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083611032 |
|---|---|
| Provider Enumeration Date | 2005-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 411 Cedar Rd |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233225566 |
| Phone Number | 7575488848 |
| Fax Number | 7575491347 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002572 |
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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 10-digit identifier code issued to Jerry William Maccauley by the Centers for Medicare & Medicaid Services?
The Jerry William Maccauley has been assigned the NPI (National Provider Identifier) 1083611032 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jerry William Maccauley?
The Jerry William Maccauley is physically situated at 411 Cedar Rd, in the city of Chesapeake, state of VA, with the postal code 233225566.
What is the Jerry William Maccauley's area of specialization and corresponding taxonomy classification?
The Jerry William Maccauley's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry William Maccauley receive the assignment of its 1083611032 from the Centers for Medicare & Medicaid Services?
The Jerry William Maccauley was issued its 1083611032 by the Centers for Medicare & Medicaid Services on 2005-07-06.
As of what date were the details related to Jerry William Maccauley most recently updated or revised?
The information pertaining to Jerry William Maccauley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.