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NPI Code Detail

MEDICARE: JASON C CLAUSER LMSW

MEDICARE: JASON C CLAUSER LMSW
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 Worker6802079688MI

General Provider Information

NPI Number : 1629397823
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON C CLAUSER LMSW
Provider Business Mailing Address
First Line : 5270 NORTHLAND DR NE STE B
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-1073
Country : US
Telephone Number : 616-527-2790
Fax Number :
Provider Business Practice Location Address
First Line : 5270 NORTHLAND DR NE STE B
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-1073
Country : US
Telephone Number : 616-690-0556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 11/21/2018

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Directions to “ JASON C CLAUSER LMSW” Practice Location

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