Jessica Lynn Elliott in Oconomowoc - Clinical
Jessica Lynn Elliott - NPI 1821201146
Jessica Lynn Elliott is a Clinical in Oconomowoc, Wisconsin. Jessica Lynn Elliott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Lynn Elliott is 1821201146. The last update date is 2020-11-10.
Jessica Lynn Elliott's current location address is 1337 Redwing Dr, Oconomowoc, Wisconsin. You can contact this provider via phone number 4146989872. The mailing address for Jessica Lynn Elliott is 1337 Redwing Dr, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Elliott |
|---|---|
| Address | 1337 Redwing Dr, Oconomowoc, Wisconsin |
| Phone Number | 4146989872 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1821201146 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 1337 Redwing Dr |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 530662388 |
| Phone Number | 4146989872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7028-123 |
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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 |
|---|---|---|---|
| 40962200 | WI | -- |
Post Comment/ Review Below
What is the Jessica Lynn Elliott's unique identification number?
The Jessica Lynn Elliott has been assigned the NPI (National Provider Identifier) Number 1821201146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jessica Lynn Elliott's facilities are situated?
The facilities of Jessica Lynn Elliott are physically located at the following address: 1337 Redwing Dr, Oconomowoc, WI, 530662388.
What is the Jessica Lynn Elliott's specialty and taxonomy code?
The Jessica Lynn Elliott's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Jessica Lynn Elliott receive its 1821201146 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Lynn Elliott was assigned its 1821201146 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jessica Lynn Elliott most recently updated or refreshed?
The details pertaining to the Jessica Lynn Elliott, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-10.