Ainsa, Jeffrey M

Ainsa, Jeffrey M is an sole proprietor health care provider with primary practice located at 15331 W Bell Rd Ste 212 , Surprise AZ 85374. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ainsa, Jeffrey M can be contacted via phone (602) 644-1198.

Contact Information

Primary practice address
15331 W Bell Rd Ste 212 Surprise AZ 85374
Phone: (602) 644-1198
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LMSW-13186 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-17210 Arizona

Profile Details

NPI number 1306131511
LBN Legal business name Ainsa, Jeffrey M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2011
Last updated Aug 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306131511 NPPES
Arizona MEDICAID 1306131511

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