| Jacqueline B Kaplan Lcsw Llc | |
|
1601 N Tucson Blvd Ste 38 Tucson AZ 85716-3410 | |
| (520) 901-0968 | |
| (520) 844-1033 |
| Full Name | Jacqueline B Kaplan Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1601 N Tucson Blvd Ste 38, Tucson, Arizona |
| Authorized Official Name and Position | Jacqueline Barbara Kaplan (CLINICAL PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 5209010968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline B Kaplan Lcsw Llc 1601 N Tucson Blvd Ste 38 Tucson AZ 85716-3410 Ph: (520) 901-0968 | Jacqueline B Kaplan Lcsw Llc 1601 N Tucson Blvd Ste 38 Tucson AZ 85716-3410 Ph: (520) 901-0968 |
| NPI Number | 1063749786 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 01/04/2018 |
| Medicare PECOS PAC ID | 3173882131 |
|---|---|
| Medicare Enrollment ID | O20180119000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063749786 | NPI | - | NPPES |
| SW8902 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8902 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW13492 (Arizona) | Primary |
| Provider Name | Jacqueline B Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922273093 PECOS PAC ID: 8224102306 Enrollment ID: I20120614000706 |
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