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Shadiase Jack
Social Worker in Leonardtown, Maryland
NPI 1609299353

Shadiase Jack is a Social Worker based in Leonardtown, MD. Shadiase Jack practices in Leonardtown, MD. The NPI Number for Shadiase Jack is 1609299353 and holds a License No. 19632 (Maryland).

The current practice location address for Shadiase Jack is 41900 Fenwick St, Leonardtown, MD and can be reached out via phone at 301-475-8860.

Location: 41900 Fenwick St, Leonardtown, MD, 20650-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609299353
Provider Name
Shadiase Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
41900 Fenwick St, Leonardtown, MD, 20650-3814
Phone Number
301-475-8860
Fax Number
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
589561803 05 MD
institution
Provider Business Practice Location Address Details
Address
41900 Fenwick St
City
Leonardtown
State
Maryland
Zip
20650-3814
Phone Number
301-475-8860
Fax Number
person
Provider Business Mailing Address Details
Address
41900 Fenwick St
City
Leonardtown
State
Maryland
Zip
20650-3814
Phone Number
301-475-8860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
19632 (Maryland)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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