Glenn Putnam Goodlove in San Diego - Clinical
Glenn Putnam Goodlove - NPI 1356558266
Glenn Putnam Goodlove is a Clinical in San Diego, California. Glenn Putnam Goodlove practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenn Putnam Goodlove is 1356558266. The last update date is 2007-07-09.
Glenn Putnam Goodlove's current location address is 10749 Escobar Dr, San Diego, California. You can contact this provider via phone number 8585691248 and fax number 8585691248. The mailing address for Glenn Putnam Goodlove is 10749 Escobar Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Putnam Goodlove |
|---|---|
| Address | 10749 Escobar Dr, San Diego, California |
| Phone Number | 8585691248 |
| Fax Number | 8585691248 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356558266 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 10749 Escobar Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921242026 |
| Phone Number | 8585691248 |
| Fax Number | 8585691248 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CA 1450 |
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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 |
|---|---|---|---|
| CSW014500 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glenn Putnam Goodlove by the Centers for Medicare & Medicaid Services?
The Glenn Putnam Goodlove has been issued the NPI (National Provider Identifier) 1356558266, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glenn Putnam Goodlove located?
The Glenn Putnam Goodlove is located at 10749 Escobar Dr, San Diego, CA 921242026.
What is the area of specialization for Glenn Putnam Goodlove, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glenn Putnam Goodlove is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Glenn Putnam Goodlove receive its 1356558266 assignment from the Centers for Medicare & Medicaid Services?
The Glenn Putnam Goodlove was assigned its 1356558266 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Glenn Putnam Goodlove's information last updated?
The Glenn Putnam Goodlove's information was last updated on 2007-07-09.
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