John Frank Gusman in San Rafael - Clinical
John Frank Gusman - NPI 1407954571
John Frank Gusman is a Clinical in San Rafael, California. John Frank Gusman practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Frank Gusman is 1407954571. The last update date is 2008-05-15.
John Frank Gusman's current location address is 1330 Lincoln Ave Ste 307, San Rafael, California. You can contact this provider via phone number 4154542734. The mailing address for John Frank Gusman is 1330 Lincoln Ave Ste 307, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Frank Gusman |
|---|---|
| Address | 1330 Lincoln Ave Ste 307, San Rafael, California |
| Phone Number | 4154542734 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1407954571 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 1330 Lincoln Ave Ste 307 |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949012143 |
| Phone Number | 4154542734 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS11317 |
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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 identifier code assigned to John Frank Gusman by the Centers for Medicare & Medicaid Services?
The John Frank Gusman has been issued the NPI (National Provider Identifier) 1407954571 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Frank Gusman is physically located?
The John Frank Gusman is physically situated at the following address: 1330 Lincoln Ave Ste 307, San Rafael, CA, 949012143.
What is John Frank Gusman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Frank Gusman is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407954571 to John Frank Gusman?
The Centers for Medicare & Medicaid Services originally issued the 1407954571 to John Frank Gusman on 2006-09-20.
As of what date were the details pertaining to John Frank Gusman last refreshed?
The information related to the John Frank Gusman, including its address, specialty, and other relevant details, was last updated on 2008-05-15.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL