Mark Leslie Gaynor in New Haven - Clinical
Mark Leslie Gaynor - NPI 1275515009
Mark Leslie Gaynor is a Clinical in New Haven, Connecticut. Mark Leslie Gaynor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Leslie Gaynor is 1275515009. The last update date is 2018-06-27.
Mark Leslie Gaynor's current location address is 100 Whitney Ave, New Haven, Connecticut. You can contact this provider via phone number 2038650865 and fax number 2038650093. The mailing address for Mark Leslie Gaynor is 100 Whitney Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Leslie Gaynor |
|---|---|
| Address | 100 Whitney Ave, New Haven, Connecticut |
| Phone Number | 2038650865 |
| Fax Number | 2038650093 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275515009 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2018-06-27 |
Provider Mailing Address Detail
| Address | 100 Whitney Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65101283 |
| Phone Number | 2038650865 |
| Fax Number | 2038650093 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 930 |
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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 unique 10-digit identifier code issued to Mark Leslie Gaynor by the Centers for Medicare & Medicaid Services?
The Mark Leslie Gaynor has been assigned the NPI (National Provider Identifier) 1275515009 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark Leslie Gaynor is physically located?
The Mark Leslie Gaynor is situated at the following address: 100 Whitney Ave, New Haven, CT 65101283.
What is the Mark Leslie Gaynor's specialty and taxonomy code?
The Mark Leslie Gaynor's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Mark Leslie Gaynor receive its 1275515009 assignment from the Centers for Medicare & Medicaid Services?
The Mark Leslie Gaynor was assigned its 1275515009 on 2005-11-17, 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 pertaining to Mark Leslie Gaynor last refreshed?
The information related to the Mark Leslie Gaynor, including its address, specialty, and other relevant details, was last updated on 2018-06-27.