Maccauley, Jerry William
Maccauley, Jerry William is an individual health care provider with primary practice located at 411 Cedar Rd , Chesapeake VA 23322-5566. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maccauley, Jerry William can be contacted via phone (757) 548-8848.Contact Information
Primary practice address
411 Cedar Rd
Chesapeake VA 23322-5566
Phone: (757) 548-8848
Fax: (757) 549-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904002572 | Virginia |
Profile Details
| NPI number | 1083611032 |
|---|---|
| LBN Legal business name | Maccauley, Jerry William |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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