Jewish Family Service | |
801 Percy Warner Blvd. Suite 103 Nashville TN 37205-4218 | |
(615) 356-4234 | |
(615) 301-0676 |
Full Name | Jewish Family Service |
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Speciality | Social Worker |
Location | 801 Percy Warner Blvd., Nashville, Tennessee |
Authorized Official Name and Position | Pamela G. Kelner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6153541644 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jewish Family Service 801 Percy Warner Blvd. Suite 103 Nashville TN 37205-4218 Ph: (615) 356-4234 | Jewish Family Service 801 Percy Warner Blvd. Suite 103 Nashville TN 37205-4218 Ph: (615) 356-4234 |
NPI Number | 1912092487 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 10/12/2015 |
Medicare PECOS PAC ID | 1254479140 |
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Medicare Enrollment ID | O20091113000301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912092487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Tennessee) | Primary |
251K00000X | Public Health Or Welfare | 780004424 (Tennessee) | Secondary |
Provider Name | Toni L Jacobsen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578658530 PECOS PAC ID: 8224176110 Enrollment ID: I20091113000239 |
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