Jamie Rundberg Gorman in Altadena - Clinical
Jamie Rundberg Gorman - NPI 1942405402
Jamie Rundberg Gorman is a Clinical in Altadena, California. Jamie Rundberg Gorman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jamie Rundberg Gorman is 1942405402. The last update date is 2007-07-08.
Jamie Rundberg Gorman's current location address is 183 W Mariposa St, Altadena, California. You can contact this provider via phone number 6267988890. The mailing address for Jamie Rundberg Gorman is 183 W Mariposa St, Altadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Rundberg Gorman |
|---|---|
| Address | 183 W Mariposa St, Altadena, California |
| Phone Number | 6267988890 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942405402 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 183 W Mariposa St |
|---|---|
| City | Altadena |
| State | California (CA) |
| Post Code | 910014761 |
| Phone Number | 6267988890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS21779 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jamie Rundberg Gorman by the Centers for Medicare & Medicaid Services (CMS)?
The Jamie Rundberg Gorman has been assigned the NPI (National Provider Identifier) 1942405402. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jamie Rundberg Gorman?
The Jamie Rundberg Gorman is physically situated at 183 W Mariposa St, in the city of Altadena, state of CA, with the postal code 910014761.
What is Jamie Rundberg Gorman's area of expertise and its corresponding taxonomy classification?
The Jamie Rundberg Gorman's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jamie Rundberg Gorman receive the assignment of its 1942405402 from the Centers for Medicare & Medicaid Services?
The Jamie Rundberg Gorman was issued its 1942405402 by the Centers for Medicare & Medicaid Services on 2007-06-15.
When was the information regarding Jamie Rundberg Gorman most recently updated?
The details pertaining to the Jamie Rundberg Gorman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL