Doctor Name: | MS. JANE ANN GINGERICH |
NPI Number: | 1174680763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L,C.S.W. |
License Number: | 8661 |
Business Practice Address: | 621 Forest Ave Suite 3-d Pacific Grove, CA - 939504264 |
Business Phone Number: | 8313735123 |
Business Fax Number: | 8316429755 |
Mailing Address: | 2881 Forest Lodge Rd, PEBBLE BEACH |
State: | CA |
Postal Code: | 939532634 |
Phone Number: | 8316493900 |
Fax Number: | 8316429755 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |