Natalia Ocokoljich Jackson in Lubbock - Clinical
Natalia Ocokoljich Jackson - NPI 1902836877
Natalia Ocokoljich Jackson is a Clinical in Lubbock, Texas. Natalia Ocokoljich Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Natalia Ocokoljich Jackson is 1902836877. The last update date is 2016-12-06.
Natalia Ocokoljich Jackson's current location address is 7212 Joliet Ave, Lubbock, Texas. You can contact this provider via phone number 8067912829 and fax number 8067913744. The mailing address for Natalia Ocokoljich Jackson is 7212 Joliet Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natalia Ocokoljich Jackson |
|---|---|
| Address | 7212 Joliet Ave, Lubbock, Texas |
| Phone Number | 8067912829 |
| Fax Number | 8067913744 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902836877 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2016-12-06 |
Provider Mailing Address Detail
| Address | 7212 Joliet Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794231137 |
| Phone Number | 8067912829 |
| Fax Number | 8067913744 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 33072 |
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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 |
|---|---|---|---|
| 153798701 | TX | -- | |
| 87314Q | TX | BLUE CROSS/BLUE SHIELD |
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What is the Natalia Ocokoljich Jackson's 1902836877?
The Natalia Ocokoljich Jackson's NPI (National Provider Identifier) Number is 1902836877. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Natalia Ocokoljich Jackson is physically located?
The Natalia Ocokoljich Jackson is physically situated at the following address: 7212 Joliet Ave, Lubbock, TX, 794231137.
What is the Natalia Ocokoljich Jackson's specialty and taxonomy code?
The Natalia Ocokoljich Jackson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Natalia Ocokoljich Jackson receive its 1902836877 assignment?
The Natalia Ocokoljich Jackson was assigned its 1902836877 on 2006-07-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Natalia Ocokoljich Jackson most recently updated?
The details pertaining to the Natalia Ocokoljich Jackson, including its address, specialty, and other relevant information, were last refreshed on 2016-12-06.