Jeremy Rossa Cole is a Clinical in Poulsbo, Washington. Jeremy Rossa Cole practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeremy Rossa Cole is 1962541151. The last update date is 2018-07-27.
Jeremy Rossa Cole's current location address is 19045 State Highway 305 Ne Ste 205, Poulsbo, Washington. You can contact this provider via phone number 3609300615 and fax number 3605983235. The mailing address for Jeremy Rossa Cole is 19045 State Highway 305 Ne Ste 205, Poulsbo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Rossa Cole |
|---|---|
| Address | 19045 State Highway 305 Ne Ste 205, Poulsbo, Washington |
| Phone Number | 3609300615 |
| Fax Number | 3605983235 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1962541151 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-07-27 |
Provider Mailing Address Detail
| Address | 19045 State Highway 305 Ne Ste 205 |
|---|---|
| City | Poulsbo |
| State | Washington (WA) |
| Post Code | 98370 |
| Phone Number | 3609300615 |
| Fax Number | 3605983235 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 34373 | ANTHEM | ||
| 7194211 | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeremy Rossa Cole?
The Jeremy Rossa Cole has been issued the NPI (National Provider Identifier) 1962541151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jeremy Rossa Cole is geographically located?
The Jeremy Rossa Cole is physically situated at the following location: 19045 State Highway 305 Ne Ste 205, Poulsbo, WA, 98370.
What is Jeremy Rossa Cole's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremy Rossa Cole is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962541151 to Jeremy Rossa Cole?
The Centers for Medicare & Medicaid Services originally issued the 1962541151 to Jeremy Rossa Cole on 2007-02-05.
When was the information regarding Jeremy Rossa Cole, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy Rossa Cole, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY