Jennifer Beach Yates in Martinsville - Clinical

Jennifer Beach Yates - NPI 1194842112

Jennifer Beach Yates is a Clinical in Martinsville, Virginia. Jennifer Beach Yates practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Beach Yates is 1194842112. The last update date is 2023-08-09.

Jennifer Beach Yates's current location address is 24 Clay St, Martinsville, Virginia. You can contact this provider via phone number 2766327128 and fax number 2766320127. The mailing address for Jennifer Beach Yates is 24 Clay St, Martinsville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Beach Yates
Address 24 Clay St, Martinsville, Virginia
Phone Number 2766327128
Fax Number 2766320127
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1194842112
Provider Enumeration Date 2007-03-23
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 24 Clay St
City Martinsville
State Virginia (VA)
Post Code 241122810
Phone Number 2766327128
Fax Number 2766320127

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904006215
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Q60361N121 VA MEDICARE
30016295290004 VA --

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FAQs about Jennifer Beach Yates

What is the unique identifier code issued to Jennifer Beach Yates by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Beach Yates has been assigned the NPI (National Provider Identifier) 1194842112. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jennifer Beach Yates?

The Jennifer Beach Yates is physically situated at 24 Clay St, in the city of Martinsville, state of VA, with the postal code 241122810.

What is Jennifer Beach Yates's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Beach Yates is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194842112 to Jennifer Beach Yates?

The Centers for Medicare & Medicaid Services originally issued the 1194842112 to Jennifer Beach Yates on 2007-03-23.

As of what date were the details pertaining to Jennifer Beach Yates last refreshed?

The information related to the Jennifer Beach Yates, including its address, specialty, and other relevant details, was last updated on 2023-08-09.

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