Niccoletta Marie Gram in Fresno - Clinical
Niccoletta Marie Gram - NPI 1063569895
Niccoletta Marie Gram is a Clinical in Fresno, California. Niccoletta Marie Gram practices all healthcare services and medical treatments related to Clinical. The NPI Number for Niccoletta Marie Gram is 1063569895. The last update date is 2007-07-08.
Niccoletta Marie Gram's current location address is 4441 E Kings Canyon Rd, Fresno, California. You can contact this provider via phone number 5594534099. The mailing address for Niccoletta Marie Gram is 4441 E Kings Canyon Rd, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Niccoletta Marie Gram |
|---|---|
| Address | 4441 E Kings Canyon Rd, Fresno, California |
| Phone Number | 5594534099 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063569895 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4441 E Kings Canyon Rd |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937023604 |
| Phone Number | 5594534099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 21112 |
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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 |
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What is the unique 10-digit identification code issued to Niccoletta Marie Gram by the Centers for Medicare & Medicaid Services?
The Niccoletta Marie Gram has been assigned the NPI (National Provider Identifier) 1063569895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Niccoletta Marie Gram's facilities are geographically located?
The facilities of Niccoletta Marie Gram are physically situated at the following location: 4441 E Kings Canyon Rd, Fresno, CA, 937023604.
What is Niccoletta Marie Gram's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Niccoletta Marie Gram is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063569895 to Niccoletta Marie Gram?
The Centers for Medicare & Medicaid Services assigned the 1063569895 to Niccoletta Marie Gram on 2007-01-04.
When was the information pertaining to Niccoletta Marie Gram most recently updated or revised?
The details related to Niccoletta Marie Gram, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.