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NPI Code Detail

MEDICARE: ARIELLA JONAS MSW

MEDICARE:   ARIELLA  JONAS  MSW
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 Worker4778FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14778OTHERFLREGISTERED CLINIAL SOCIAL WORK INTERN

General Provider Information

NPI Number : 1912142092
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLA JONAS MSW
Provider Business Mailing Address
First Line : 297 NE 6TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5514
Country : US
Telephone Number : 561-572-1703
Fax Number :
Provider Business Practice Location Address
First Line : 297 NE 6TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5514
Country : US
Telephone Number : 561-572-1703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 12/03/2008

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