Jolie Glassman Kerenick in Madison - Clinical
Jolie Glassman Kerenick - NPI 1255545398
Jolie Glassman Kerenick is a Clinical in Madison, Mississippi. Jolie Glassman Kerenick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jolie Glassman Kerenick is 1255545398. The last update date is 2007-07-08.
Jolie Glassman Kerenick's current location address is 103 Linden Cv, Madison, Mississippi. You can contact this provider via phone number 6017091253. The mailing address for Jolie Glassman Kerenick is 103 Linden Cv, Madison, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jolie Glassman Kerenick |
|---|---|
| Address | 103 Linden Cv, Madison, Mississippi |
| Phone Number | 6017091253 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1255545398 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 103 Linden Cv |
|---|---|
| City | Madison |
| State | Mississippi (MS) |
| Post Code | 391104403 |
| Phone Number | 6017091253 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C5873 |
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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 |
|---|---|---|---|
| 8138320 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jolie Glassman Kerenick by the Centers for Medicare & Medicaid Services?
The Jolie Glassman Kerenick has been issued the NPI (National Provider Identifier) 1255545398 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jolie Glassman Kerenick?
The Jolie Glassman Kerenick is physically situated at 103 Linden Cv, in the city of Madison, state of MS, with the postal code 391104403.
What is Jolie Glassman Kerenick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jolie Glassman Kerenick's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255545398 to Jolie Glassman Kerenick?
The Centers for Medicare & Medicaid Services originally issued the 1255545398 to Jolie Glassman Kerenick on 2007-05-09.
When was the Jolie Glassman Kerenick's information last updated?
The Jolie Glassman Kerenick's information was last updated on 2007-07-08.