Linda Lee Gort is a Clinical in Riverside, California. Linda Lee Gort practices all healthcare services and medical treatments related to Clinical. The NPI Number for Linda Lee Gort is 1154497980. The last update date is 2017-12-26.
Linda Lee Gort's current location address is 2549 Flanders Rd, Riverside, California. You can contact this provider via phone number 9519667186 and fax number 9513464062. The mailing address for Linda Lee Gort is 2549 Flanders Rd, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Lee Gort |
|---|---|
| Address | 2549 Flanders Rd, Riverside, California |
| Phone Number | 9519667186 |
| Fax Number | 9513464062 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154497980 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2017-12-26 |
Provider Mailing Address Detail
| Address | 2549 Flanders Rd |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925073029 |
| Phone Number | 9519667186 |
| Fax Number | 9513464062 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS9034 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CSW090340 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Linda Lee Gort by the Centers for Medicare & Medicaid Services?
The Linda Lee Gort has been assigned the NPI (National Provider Identifier) 1154497980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Linda Lee Gort is physically located?
The Linda Lee Gort is situated at the following address: 2549 Flanders Rd, Riverside, CA 925073029.
What is the Linda Lee Gort's area of specialization and corresponding taxonomy classification?
The Linda Lee Gort's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Linda Lee Gort receive its 1154497980 assignment from the Centers for Medicare & Medicaid Services?
The Linda Lee Gort was assigned its 1154497980 on 2006-11-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Linda Lee Gort most recently updated or revised?
The information pertaining to Linda Lee Gort, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-26.
NPI Number: 1720081763
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