Wanda Lewis Gholston in Montgomery - Social Worker
Wanda Lewis Gholston - NPI 1902926991
Wanda Lewis Gholston is a Social Worker in Montgomery, Alabama. Wanda Lewis Gholston practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Wanda Lewis Gholston is 1902926991. The last update date is 2007-07-08.
Wanda Lewis Gholston's current location address is 4520 Executive Park Dr, Montgomery, Alabama. You can contact this provider via phone number 3342703181 and fax number 3342705805. The mailing address for Wanda Lewis Gholston is 4520 Executive Park Dr, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Lewis Gholston |
|---|---|
| Address | 4520 Executive Park Dr, Montgomery, Alabama |
| Phone Number | 3342703181 |
| Fax Number | 3342705805 |
| Sole Proprietor | N |
| Credentials | MA LBSW |
NPI Number Detail
| NPI Number | 1902926991 |
|---|---|
| Provider Enumeration Date | 2007-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4520 Executive Park Dr |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361161619 |
| Phone Number | 3342703181 |
| Fax Number | 3342705805 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | 1378B |
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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 an |
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What is the unique 10-digit identification code assigned to Wanda Lewis Gholston by the Centers for Medicare & Medicaid Services?
The Wanda Lewis Gholston has been issued the NPI (National Provider Identifier) 1902926991, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wanda Lewis Gholston is located?
The Wanda Lewis Gholston is situated at the following address: 4520 Executive Park Dr, Montgomery, AL, 361161619.
What is Wanda Lewis Gholston's area of expertise and its corresponding taxonomy classification?
The Wanda Lewis Gholston's field of specialization is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1902926991 to Wanda Lewis Gholston?
The Wanda Lewis Gholston received its 1902926991 assignment from the Centers for Medicare & Medicaid Services on 2007-03-31.
When was the information regarding Wanda Lewis Gholston most recently updated?
The details pertaining to the Wanda Lewis Gholston, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.