Jennifer Anne Decoteau in Auburn - Clinical
Jennifer Anne Decoteau - NPI 1417016056
Jennifer Anne Decoteau is a Clinical in Auburn, Washington. Jennifer Anne Decoteau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Anne Decoteau is 1417016056. The last update date is 2007-07-08.
Jennifer Anne Decoteau's current location address is 29841 42nd Ave South, Auburn, Washington. You can contact this provider via phone number 2539410367. The mailing address for Jennifer Anne Decoteau is 29841 42nd Ave South, Auburn, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Anne Decoteau |
|---|---|
| Address | 29841 42nd Ave South, Auburn, Washington |
| Phone Number | 2539410367 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1417016056 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 29841 42nd Ave South |
|---|---|
| City | Auburn |
| State | Washington (WA) |
| Post Code | 98001 |
| Phone Number | 2539410367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00006535 |
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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 |
|---|---|---|---|
| 1355DE | WA | REGENCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Anne Decoteau by the Centers for Medicare & Medicaid Services?
The Jennifer Anne Decoteau has been issued the NPI (National Provider Identifier) 1417016056 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jennifer Anne Decoteau's facilities are geographically located?
The facilities of Jennifer Anne Decoteau are physically situated at the following location: 29841 42Nd Ave South, Auburn, WA, 98001.
What is the Jennifer Anne Decoteau's specialty and taxonomy code?
The Jennifer Anne Decoteau's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417016056 to Jennifer Anne Decoteau?
The Centers for Medicare & Medicaid Services assigned the 1417016056 to Jennifer Anne Decoteau on 2006-12-08.
As of what date were the details related to Jennifer Anne Decoteau most recently updated or revised?
The information pertaining to Jennifer Anne Decoteau, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.