Jacklyn Shivers is a Clinical in Madison, Wisconsin. Jacklyn Shivers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacklyn Shivers is 1881802825. The last update date is 2007-07-08.
Jacklyn Shivers's current location address is 625 W Washington Ave, Madison, Wisconsin. You can contact this provider via phone number 6082802700. The mailing address for Jacklyn Shivers is 625 W Washington Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklyn Shivers |
|---|---|
| Address | 625 W Washington Ave, Madison, Wisconsin |
| Phone Number | 6082802700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSSW |
NPI Number Detail
| NPI Number | 1881802825 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 625 W Washington Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537032637 |
| Phone Number | 6082802700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3647 |
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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 Jacklyn Shivers's 1881802825?
The Jacklyn Shivers's NPI (National Provider Identifier) Number is 1881802825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jacklyn Shivers?
The Jacklyn Shivers is physically situated at 625 W Washington Ave, in the city of Madison, state of WI, with the postal code 537032637.
What is Jacklyn Shivers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacklyn Shivers's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Jacklyn Shivers receive its 1881802825?
The Jacklyn Shivers was issued its 1881802825 on 2007-05-21, which is the date when the organization was assigned this unique identifier.
When was the information related to Jacklyn Shivers most recently updated or refreshed?
The details pertaining to the Jacklyn Shivers, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.