Individual
MISS NANCY L JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00831
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021100
NHP - GROUP NUMBER
RI
01
—
30634-6
BLUE CROSS/ BLUE SHIELD
RI
01
—
311822
MAGELLAN- GROUP NUMBER
RI
01
—
331435
TRI-CARE
RI
01
—
406489
BLUE CHIP
RI
01
—
62-52964
UNITED BEHAVIORAL HEALTH
RI
05
—
NJ03896
—
RI
Enumeration date
08/30/2006
Last updated
07/09/2007
Update your record
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