Jennifer Johnson-Crudup in Detroit - Clinical
Jennifer Johnson-Crudup - NPI 1376703579
Jennifer Johnson-Crudup is a Clinical in Detroit, Michigan. Jennifer Johnson-Crudup practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Johnson-Crudup is 1376703579. The last update date is 2008-06-11.
Jennifer Johnson-Crudup's current location address is 17321 Telegraph Rd, Detroit, Michigan. You can contact this provider via phone number 3135312500. The mailing address for Jennifer Johnson-Crudup is 17321 Telegraph Rd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Johnson-Crudup |
|---|---|
| Address | 17321 Telegraph Rd, Detroit, Michigan |
| Phone Number | 3135312500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1376703579 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 17321 Telegraph Rd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482193132 |
| Phone Number | 3135312500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087446 |
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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 Jennifer Johnson-Crudup's unique identification number?
The Jennifer Johnson-Crudup has been assigned the NPI (National Provider Identifier) Number 1376703579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jennifer Johnson-Crudup located?
The Jennifer Johnson-Crudup is located at 17321 Telegraph Rd, Detroit, MI 482193132.
What is the Jennifer Johnson-Crudup's specialty and taxonomy code?
The Jennifer Johnson-Crudup's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jennifer Johnson-Crudup receive the assignment of its 1376703579 from the Centers for Medicare & Medicaid Services?
The Jennifer Johnson-Crudup was issued its 1376703579 by the Centers for Medicare & Medicaid Services on 2008-06-11.
As of what date was the information regarding Jennifer Johnson-Crudup, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Johnson-Crudup, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-11.
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