MR. Jeffry David Jeanetta Wark MA LICSW

  • NPI 1982778932
According to our database, the NPI number for MR. Jeffry David Jeanetta Wark MA LICSW is 1982778932 and activated since 17 years ago. MR. Jeffry David Jeanetta Wark MA LICSW is an individual provider who specializes in Clinical, and the primary practice location is 1751 County Road B W Ste 100, Roseville, MN 55113. You can also contact MR. Jeffry David Jeanetta Wark MA LICSW via telephone number is (651) 698-0768. Provider NPI information was last updated on 03/21/2018.

Recently Active NPIs

Overview of MR. Jeffry David Jeanetta Wark MA LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/20/2006
  • Last updated: 03/21/2018

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 09459
  • License State: MN

Provider Mailing Address

  • Address: 1751 County Road B W Ste 100
    Roseville, MN 55113
  • Phone: 651-698-0768
  • Fax:

Provider Practice Location

  • Address: 1751 County Road B W Ste 100
    Roseville, MN 55113
  • Phone: 651-698-0768
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 09459
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 13GS2WA
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BCBS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jeffry David Jeanetta Wark MA LICSW?
  • A: The npi number for MR. Jeffry David Jeanetta Wark MA LICSW is 1982778932.
  • Q: What are MR. Jeffry David Jeanetta Wark MA LICSW's specialties?
  • A: MR. Jeffry David Jeanetta Wark MA LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for MR. Jeffry David Jeanetta Wark MA LICSW?
  • A: The medical license number for MR. Jeffry David Jeanetta Wark MA LICSW is 09459 and issued in MN in USA.
  • Q: Where is MR. Jeffry David Jeanetta Wark MA LICSW practice location?
  • A: MR. Jeffry David Jeanetta Wark MA LICSW is practicing at 1751 County Road B W Ste 100, Roseville, MN 55113.
  • Q: How to contact MR. Jeffry David Jeanetta Wark MA LICSW?
  • A: You can contact MR. Jeffry David Jeanetta Wark MA LICSW via 651-698-0768.