Jennifer Carolyn Skinner in Jackson - Clinical

Jennifer Carolyn Skinner - NPI 1003984196

Jennifer Carolyn Skinner is a Clinical in Jackson, Mississippi. Jennifer Carolyn Skinner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Carolyn Skinner is 1003984196. The last update date is 2007-07-08.

Jennifer Carolyn Skinner's current location address is 1572 Schoolview Drive, Jackson, Mississippi. You can contact this provider via phone number 6013663564. The mailing address for Jennifer Carolyn Skinner is 1572 Schoolview Drive, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Carolyn Skinner
Address 1572 Schoolview Drive, Jackson, Mississippi
Phone Number 6013663564
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1003984196
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1572 Schoolview Drive
City Jackson
State Mississippi (MS)
Post Code 39213
Phone Number 6013663564
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C1277
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
124149 MS --

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FAQs about Jennifer Carolyn Skinner

What is the unique identifier code issued to Jennifer Carolyn Skinner by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Carolyn Skinner has been assigned the NPI (National Provider Identifier) 1003984196. 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 Carolyn Skinner?

The Jennifer Carolyn Skinner is situated at 1572 Schoolview Drive, in the city of Jackson, state of MS, with the zip code 39213.

What is Jennifer Carolyn Skinner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Carolyn Skinner is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did Jennifer Carolyn Skinner receive its 1003984196 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Carolyn Skinner was assigned its 1003984196 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jennifer Carolyn Skinner most recently updated or refreshed?

The details pertaining to the Jennifer Carolyn Skinner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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