Jennifer Ann La Jeunesse in Meridian - Clinical
Jennifer Ann La Jeunesse - NPI 1013106434
Jennifer Ann La Jeunesse is a Clinical in Meridian, Idaho. Jennifer Ann La Jeunesse practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Ann La Jeunesse is 1013106434. The last update date is 2007-10-22.
Jennifer Ann La Jeunesse's current location address is 520 S Eagle Rd Ste 2106, Meridian, Idaho. You can contact this provider via phone number 2087065775 and fax number 2087065777. The mailing address for Jennifer Ann La Jeunesse is 520 S Eagle Rd Ste 2106, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ann La Jeunesse |
|---|---|
| Address | 520 S Eagle Rd Ste 2106, Meridian, Idaho |
| Phone Number | 2087065775 |
| Fax Number | 2087065777 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013106434 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 520 S Eagle Rd Ste 2106 |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426363 |
| Phone Number | 2087065775 |
| Fax Number | 2087065777 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-28431 |
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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 unique 10-digit identification code issued to Jennifer Ann La Jeunesse by the Centers for Medicare & Medicaid Services?
The Jennifer Ann La Jeunesse has been assigned the NPI (National Provider Identifier) 1013106434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jennifer Ann La Jeunesse's physical address?
The Jennifer Ann La Jeunesse is physically located at 520 S Eagle Rd Ste 2106, in the city of Meridian, ID, with the postal code 836426363.
What is Jennifer Ann La Jeunesse's area of expertise and its corresponding taxonomy classification?
The Jennifer Ann La Jeunesse's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jennifer Ann La Jeunesse receive the assignment of its 1013106434 from the Centers for Medicare & Medicaid Services?
The Jennifer Ann La Jeunesse was issued its 1013106434 by the Centers for Medicare & Medicaid Services on 2007-10-22.
As of what date were the details related to Jennifer Ann La Jeunesse most recently updated or revised?
The information pertaining to Jennifer Ann La Jeunesse, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-22.