Kim Allison Gordon is a Clinical in Madison, Connecticut. Kim Allison Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Allison Gordon is 1285751677. The last update date is 2022-03-24.
Kim Allison Gordon's current location address is 10 Longview Ter, Madison, Connecticut. You can contact this provider via phone number 8604600064. The mailing address for Kim Allison Gordon is 10 Longview Ter, Madison, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Allison Gordon |
|---|---|
| Address | 10 Longview Ter, Madison, Connecticut |
| Phone Number | 8604600064 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1285751677 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2022-03-24 |
Provider Mailing Address Detail
| Address | 10 Longview Ter |
|---|---|
| City | Madison |
| State | Connecticut (CT) |
| Post Code | 64433409 |
| Phone Number | 8604600064 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3283 |
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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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Post Comment/ Review Below
What is the Kim Allison Gordon's 1285751677?
The Kim Allison Gordon's NPI (National Provider Identifier) Number is 1285751677. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kim Allison Gordon is located?
The Kim Allison Gordon is situated at the following address: 10 Longview Ter, Madison, CT, 64433409.
What is the Kim Allison Gordon's specialty and taxonomy code?
The Kim Allison Gordon's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1285751677 assigned to Kim Allison Gordon?
The Kim Allison Gordon was issued its 1285751677 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kim Allison Gordon's details last updated?
The information pertaining to the Kim Allison Gordon, including its address, specialty, and other details, was most recently updated on 2022-03-24.