Hasani Gough is a Clinical in Oakland, California. Hasani Gough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Hasani Gough is 1942374632. The last update date is 2011-10-25.
Hasani Gough's current location address is 1501 Fruitvale Ave, Oakland, California. You can contact this provider via phone number 5105356200. The mailing address for Hasani Gough is 1501 Fruitvale Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hasani Gough |
|---|---|
| Address | 1501 Fruitvale Ave, Oakland, California |
| Phone Number | 5105356200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942374632 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2011-10-25 |
Provider Mailing Address Detail
| Address | 1501 Fruitvale Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946012322 |
| Phone Number | 5105356200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15454 |
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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 Hasani Gough's unique identification number?
The Hasani Gough has been assigned the NPI (National Provider Identifier) Number 1942374632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Hasani Gough located?
The Hasani Gough is located at 1501 Fruitvale Ave, Oakland, CA 946012322.
What is Hasani Gough's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hasani Gough's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Hasani Gough receive its 1942374632 assignment from the Centers for Medicare & Medicaid Services?
The Hasani Gough was assigned its 1942374632 by the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the Hasani Gough's information last updated?
The Hasani Gough's information was last updated on 2011-10-25.