Jennifer Beth Willis in Rio Rancho - Clinical
Jennifer Beth Willis - NPI 1104864255
Jennifer Beth Willis is a Clinical in Rio Rancho, New Mexico. Jennifer Beth Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Beth Willis is 1104864255. The last update date is 2022-07-21.
Jennifer Beth Willis's current location address is 2103 Golf Course Road Se, Rio Rancho, New Mexico. You can contact this provider via phone number 5056391312. The mailing address for Jennifer Beth Willis is 2103 Golf Course Road Se, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Beth Willis |
|---|---|
| Address | 2103 Golf Course Road Se, Rio Rancho, New Mexico |
| Phone Number | 5056391312 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1104864255 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2103 Golf Course Road Se |
|---|---|
| City | Rio Rancho |
| State | New Mexico (NM) |
| Post Code | 871242071 |
| Phone Number | 5056391312 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C-06999 |
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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 |
|---|---|---|---|
| 1104864255 | NM | NPI TYPE | |
| 1598218190 | NM | NPI TYPE 2 | |
| 17301866 | NM | -- | |
| 2351714 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer Beth Willis by the Centers for Medicare & Medicaid Services?
The Jennifer Beth Willis has been assigned the NPI (National Provider Identifier) 1104864255 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jennifer Beth Willis's facilities are situated?
The facilities of Jennifer Beth Willis are physically located at the following address: 2103 Golf Course Road Se, Rio Rancho, NM, 871242071.
What is Jennifer Beth Willis's area of expertise and its corresponding taxonomy classification?
The Jennifer Beth Willis's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Jennifer Beth Willis receive its 1104864255?
The Jennifer Beth Willis was issued its 1104864255 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Jennifer Beth Willis's details last updated?
The information pertaining to the Jennifer Beth Willis, including its address, specialty, and other details, was most recently updated on 2022-07-21.