Jephrie Elizabeth Willis in Rancho Cucamonga - Clinical

Jephrie Elizabeth Willis - NPI 1558492645

Jephrie Elizabeth Willis is a Clinical in Rancho Cucamonga, California. Jephrie Elizabeth Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jephrie Elizabeth Willis is 1558492645. The last update date is 2021-03-15.

Jephrie Elizabeth Willis's current location address is 9645 Arrow Rte Ste A, Rancho Cucamonga, California. You can contact this provider via phone number 9099485747. The mailing address for Jephrie Elizabeth Willis is 9645 Arrow Rte Ste A, Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jephrie Elizabeth Willis
Address 9645 Arrow Rte Ste A, Rancho Cucamonga, California
Phone Number 9099485747
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1558492645
Provider Enumeration Date 2007-03-08
Last Updated Date 2021-03-15

Provider Mailing Address Detail

Address 9645 Arrow Rte Ste A
City Rancho Cucamonga
State California (CA)
Post Code 917304554
Phone Number 9099485747
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 21228
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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FAQs about Jephrie Elizabeth Willis

What is the unique 10-digit identification code assigned to Jephrie Elizabeth Willis by the Centers for Medicare & Medicaid Services?

The Jephrie Elizabeth Willis has been issued the NPI (National Provider Identifier) 1558492645, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jephrie Elizabeth Willis?

The Jephrie Elizabeth Willis is situated at 9645 Arrow Rte Ste A, in the city of Rancho Cucamonga, state of CA, with the zip code 917304554.

What is Jephrie Elizabeth Willis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jephrie Elizabeth Willis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558492645 to Jephrie Elizabeth Willis?

The Jephrie Elizabeth Willis received its 1558492645 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.

As of what date was the information pertaining to Jephrie Elizabeth Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jephrie Elizabeth Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-15.

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