Jane Lee Ickes is a Clinical in Williamsburg, Virginia. Jane Lee Ickes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane Lee Ickes is 1508910662. The last update date is 2015-01-21.
Jane Lee Ickes's current location address is 5251-37 John Tyler Hwy, Williamsburg, Virginia. You can contact this provider via phone number 7578466959. The mailing address for Jane Lee Ickes is 5251-37 John Tyler Hwy, Williamsburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Lee Ickes |
|---|---|
| Address | 5251-37 John Tyler Hwy, Williamsburg, Virginia |
| Phone Number | 7578466959 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1508910662 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 5251-37 John Tyler Hwy |
|---|---|
| City | Williamsburg |
| State | Virginia (VA) |
| Post Code | 23185 |
| Phone Number | 7578466959 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005652 |
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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 identification code assigned to Jane Lee Ickes by the Centers for Medicare & Medicaid Services?
The Jane Lee Ickes has been issued the NPI (National Provider Identifier) 1508910662. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jane Lee Ickes's facilities are geographically located?
The facilities of Jane Lee Ickes are physically situated at the following location: 5251-37 John Tyler Hwy, Williamsburg, VA, 23185.
What is Jane Lee Ickes's area of expertise and its corresponding taxonomy classification?
The Jane Lee Ickes's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Jane Lee Ickes receive its 1508910662?
The Jane Lee Ickes was issued its 1508910662 on 2007-01-23, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jane Lee Ickes most recently updated or revised?
The details related to Jane Lee Ickes, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-21.
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