JACQUIE JENSEN, MSW, LISAC
NPI 1851709513
Community/Behavioral Health in Phoenix, AZ
- Organization
- Community/Behavioral Health
About JACQUIE JENSEN, MSW, LISAC
This page provides the complete NPI Profile along with additional information for Jacquie Jensen, Msw, Lisac, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1851709513 assigned on July 2014. The practitioner's primary taxonomy code is 251S00000X with license number LISAC-11489 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Jacquie Beth Jensen Msw (Therapist)
- NPI
- 1851709513 Verify this NPI
- Provider Name
- JACQUIE JENSEN, MSW, LISAC
- Entity Type
- Organization
- Location Address
- 2319 N 51ST PL NUMBER 2 PHOENIX, AZ 85008
- Location Phone
- (480) 221-4875
- Mailing Address
- 2319 N 51ST PL NUMBER 2 PHOENIX, AZ 85008
- Mailing Phone
- (480) 221-4875
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-25-2014
- Last Update Date
- 07-25-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- LISAC-11489
- License State
- AZ
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851709513, enumerated as an "organization" on July 25, 2014.
The provider is located at 2319 N 51ST PL NUMBER 2 PHOENIX, AZ 85008 and the phone number is (480) 221-4875.
Community/Behavioral Health with taxonomy code 251S00000X.
