Gary Dwayne West in Colorado Springs - Clinical
Gary Dwayne West - NPI 1013138320
Gary Dwayne West is a Clinical in Colorado Springs, Colorado. Gary Dwayne West practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Dwayne West is 1013138320. The last update date is 2018-07-19.
Gary Dwayne West's current location address is 2965 Broadmoor Valley Rd, Colorado Springs, Colorado. You can contact this provider via phone number 7195766617 and fax number 7195799792. The mailing address for Gary Dwayne West is 2965 Broadmoor Valley Rd, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Dwayne West |
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Address | 2965 Broadmoor Valley Rd, Colorado Springs, Colorado |
Phone Number | 7195766617 |
Fax Number | 7195799792 |
Sole Proprietor | N |
Credentials | MSW, LCSW, |
NPI Number Detail
NPI Number | 1013138320 |
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Provider Enumeration Date | 2007-05-02 |
Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
Address | 2965 Broadmoor Valley Rd |
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City | Colorado Springs |
State | Colorado (CO) |
Post Code | 809064406 |
Phone Number | 7195766617 |
Fax Number | 7195799792 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 876330 |
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 identification code assigned to Gary Dwayne West by the Centers for Medicare & Medicaid Services?
The Gary Dwayne West has been issued the NPI (National Provider Identifier) 1013138320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary Dwayne West?
The Gary Dwayne West is physically situated at 2965 Broadmoor Valley Rd, in the city of Colorado Springs, state of CO, with the postal code 809064406.
What is Gary Dwayne West'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 Gary Dwayne West is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Gary Dwayne West receive its 1013138320?
The Gary Dwayne West was issued its 1013138320 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Gary Dwayne West, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Dwayne West, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-19.