Violet M Goodwine in Thermopolis - Clinical

Violet M Goodwine - NPI 1730392341

Violet M Goodwine is a Clinical in Thermopolis, . Violet M Goodwine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Violet M Goodwine is 1730392341. The last update date is 2014-07-16.

Violet M Goodwine's current location address is 121 S 4th St, Thermopolis, . You can contact this provider via phone number 3078643138 and fax number 3078643139. The mailing address for Violet M Goodwine is 121 S 4th St, Thermopolis, . To know further, please read the information below!

Provider Profile Detail

Provider Name Violet M Goodwine
Address 121 S 4th St, Thermopolis,
Phone Number 3078643138
Fax Number 3078643139
Sole Proprietor N
Credentials M.S.W.

NPI Number Detail

NPI Number 1730392341
Provider Enumeration Date 2007-05-08
Last Updated Date 2014-07-16

Provider Mailing Address Detail

Address 121 S 4th St
City Thermopolis
State (WY)
Post Code 824432634
Phone Number 3078643138
Fax Number 3078643139

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No PPC # 178
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
108969204 WY --
132369500 WY --
108969205 WY --

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FAQs about Violet M Goodwine

What is the unique 10-digit identifier code assigned to Violet M Goodwine by the Centers for Medicare & Medicaid Services?

The Violet M Goodwine has been issued the NPI (National Provider Identifier) 1730392341 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Violet M Goodwine?

The Violet M Goodwine is physically situated at 121 S 4Th St, in the city of Thermopolis, state of WY, with the postal code 824432634.

What is the Violet M Goodwine's specialty and taxonomy code?

The Violet M Goodwine's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When did Violet M Goodwine receive its 1730392341 assignment?

The Violet M Goodwine was assigned its 1730392341 on 2007-05-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Violet M Goodwine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Violet M Goodwine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-16.

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