Fred A Gideon is a Clinical in Burney, California. Fred A Gideon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred A Gideon is 1922142769. The last update date is 2007-07-08.
Fred A Gideon's current location address is 37491 Enterprise Dr, Burney, California. You can contact this provider via phone number 5303352906. The mailing address for Fred A Gideon is 37491 Enterprise Dr, Burney, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred A Gideon |
|---|---|
| Address | 37491 Enterprise Dr, Burney, California |
| Phone Number | 5303352906 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1922142769 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 37491 Enterprise Dr |
|---|---|
| City | Burney |
| State | California (CA) |
| Post Code | 960134379 |
| Phone Number | 5303352906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9029 |
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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 identifier code issued to Fred A Gideon by the Centers for Medicare & Medicaid Services?
The Fred A Gideon has been assigned the NPI (National Provider Identifier) 1922142769. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fred A Gideon located?
The Fred A Gideon is located at 37491 Enterprise Dr, Burney, CA 960134379.
What is Fred A Gideon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fred A Gideon is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1922142769 assigned to Fred A Gideon?
The Fred A Gideon was issued its 1922142769 on 2007-02-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Fred A Gideon most recently updated or refreshed?
The details pertaining to the Fred A Gideon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.