Jessica Chan is a Clinical in Vienna, Virginia. Jessica Chan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Chan is 1265690986. The last update date is 2009-11-24.
Jessica Chan's current location address is 8514 Jeffersonian Ct, Vienna, Virginia. You can contact this provider via phone number 7033283563. The mailing address for Jessica Chan is 8514 Jeffersonian Ct, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Chan |
|---|---|
| Address | 8514 Jeffersonian Ct, Vienna, Virginia |
| Phone Number | 7033283563 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265690986 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2009-11-24 |
Provider Mailing Address Detail
| Address | 8514 Jeffersonian Ct |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221822378 |
| Phone Number | 7033283563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904006841 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 904006841 | VA | COMMONWEALTH OF VIRGINIA, DEPA |
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What is the Jessica Chan's 1265690986?
The Jessica Chan's NPI (National Provider Identifier) Number is 1265690986. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jessica Chan located?
The Jessica Chan is located at 8514 Jeffersonian Ct, Vienna, VA 221822378.
What is the Jessica Chan's area of specialization and corresponding taxonomy classification?
The Jessica Chan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Jessica Chan receive its 1265690986 assignment?
The Jessica Chan was assigned its 1265690986 on 2008-05-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jessica Chan most recently updated?
The details pertaining to the Jessica Chan, including its address, specialty, and other relevant information, were last refreshed on 2009-11-24.