Jennifer W Weaver in Bangor - Clinical

Jennifer W Weaver - NPI 1730377839

Jennifer W Weaver is a Clinical in Bangor, Maine. Jennifer W Weaver practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer W Weaver is 1730377839. The last update date is 2007-10-15.

Jennifer W Weaver's current location address is 202 Exchange St, Bangor, Maine. You can contact this provider via phone number 2079416434 and fax number 2079419366. The mailing address for Jennifer W Weaver is 202 Exchange St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer W Weaver
Address 202 Exchange St, Bangor, Maine
Phone Number 2079416434
Fax Number 2079419366
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1730377839
Provider Enumeration Date 2007-10-15
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 202 Exchange St
City Bangor
State Maine (ME)
Post Code 44016508
Phone Number 2079416434
Fax Number 2079419366

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC9537
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431985699 ME --
99250 ME ANTHEM BLUE CROSS

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FAQs about Jennifer W Weaver

What is the Jennifer W Weaver's 1730377839?

The Jennifer W Weaver's NPI (National Provider Identifier) Number is 1730377839. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jennifer W Weaver is geographically located?

The Jennifer W Weaver is physically situated at the following location: 202 Exchange St, Bangor, ME, 44016508.

What is the area of specialization for Jennifer W Weaver, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer W Weaver is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

When did Jennifer W Weaver receive its 1730377839 assignment?

The Jennifer W Weaver was assigned its 1730377839 on 2007-10-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jennifer W Weaver last refreshed?

The information related to the Jennifer W Weaver, including its address, specialty, and other relevant details, was last updated on 2007-10-15.

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