Janice Raye Gagerman in Chico - Clinical

Janice Raye Gagerman - NPI 1104940055

Janice Raye Gagerman is a Clinical in Chico, California. Janice Raye Gagerman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Janice Raye Gagerman is 1104940055. The last update date is 2007-07-08.

Janice Raye Gagerman's current location address is 741 Santiago Ct, Chico, California. You can contact this provider via phone number 5308981952 and fax number 5308931153. The mailing address for Janice Raye Gagerman is 741 Santiago Ct, Chico, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice Raye Gagerman
Address 741 Santiago Ct, Chico, California
Phone Number 5308981952
Fax Number 5308931153
Sole Proprietor Y
Credentials LCSW,BCD

NPI Number Detail

NPI Number 1104940055
Provider Enumeration Date 2007-03-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 741 Santiago Ct
City Chico
State California (CA)
Post Code 959738781
Phone Number 5308981952
Fax Number 5308931153

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 9420
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
LCSW 9420 CA LICENSED CLINICAL SOCIAL

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FAQs about Janice Raye Gagerman

What is the Janice Raye Gagerman's 1104940055?

The Janice Raye Gagerman's NPI (National Provider Identifier) Number is 1104940055. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Janice Raye Gagerman located?

The Janice Raye Gagerman is located at 741 Santiago Ct, Chico, CA 959738781.

What is Janice Raye Gagerman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Janice Raye Gagerman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Janice Raye Gagerman receive its 1104940055 assignment from the Centers for Medicare & Medicaid Services?

The Janice Raye Gagerman was assigned its 1104940055 by the Centers for Medicare & Medicaid Services on 2007-03-18.

When was the information regarding Janice Raye Gagerman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Janice Raye Gagerman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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