Jennifer M Crandall in Caribou - Clinical
Jennifer M Crandall - NPI 1073671046
Jennifer M Crandall is a Clinical in Caribou, Maine. Jennifer M Crandall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer M Crandall is 1073671046. The last update date is 2014-08-20.
Jennifer M Crandall's current location address is 24 Sweden St, Caribou, Maine. You can contact this provider via phone number 2074933361 and fax number 2074924889. The mailing address for Jennifer M Crandall is 24 Sweden St, Caribou, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Crandall |
|---|---|
| Address | 24 Sweden St, Caribou, Maine |
| Phone Number | 2074933361 |
| Fax Number | 2074924889 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073671046 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
| Address | 24 Sweden St |
|---|---|
| City | Caribou |
| State | Maine (ME) |
| Post Code | 47362127 |
| Phone Number | 2074933361 |
| Fax Number | 2074924889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC13640 |
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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 |
|---|---|---|---|
| 403910099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer M Crandall by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer M Crandall has been assigned the NPI (National Provider Identifier) 1073671046. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jennifer M Crandall?
The Jennifer M Crandall is situated at 24 Sweden St, in the city of Caribou, state of ME, with the zip code 47362127.
What is the area of specialization for Jennifer M Crandall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer M Crandall is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073671046 to Jennifer M Crandall?
The Jennifer M Crandall received its 1073671046 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information pertaining to Jennifer M Crandall most recently updated or revised?
The details related to Jennifer M Crandall, including its address, specialty, and other relevant information, were last updated or revised on 2014-08-20.