Casey Jackson is a Clinical in Spokane, Washington. Casey Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Casey Jackson is 1295943496. The last update date is 2007-07-08.
Casey Jackson's current location address is 1124 W Riverside Ave, Spokane, Washington. You can contact this provider via phone number 5099819851. The mailing address for Casey Jackson is 1124 W Riverside Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Casey Jackson |
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Address | 1124 W Riverside Ave, Spokane, Washington |
Phone Number | 5099819851 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW, LICSW |
NPI Number Detail
NPI Number | 1295943496 |
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Provider Enumeration Date | 2007-05-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1124 W Riverside Ave |
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City | Spokane |
State | Washington (WA) |
Post Code | 992011132 |
Phone Number | 5099819851 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LW00004476 |
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 identifier code issued to Casey Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Casey Jackson has been assigned the NPI (National Provider Identifier) 1295943496. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Casey Jackson is physically located?
The Casey Jackson is situated at the following address: 1124 W Riverside Ave, Spokane, WA 992011132.
What is Casey Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Casey Jackson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Casey Jackson receive its 1295943496 assignment?
The Casey Jackson was assigned its 1295943496 on 2007-05-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Casey Jackson's details last updated?
The information pertaining to the Casey Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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