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NPI Code Detail

MEDICARE: JANE MEISEL CHAFIN LCSW, ACSW

MEDICARE: JANE MEISEL CHAFIN LCSW, ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW0001877FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114020435
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE MEISEL CHAFIN LCSW, ACSW
Provider Business Mailing Address
First Line : 437 BLAKE AVE
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-4003
Country : US
Telephone Number : 904-264-9716
Fax Number : 904-448-4717
Provider Business Practice Location Address
First Line : 5776 SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8030
Country : US
Telephone Number : 904-448-4700
Fax Number : 904-448-4717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 07/08/2007

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