Ira Grann is a Clinical in Orange Park, Florida. Ira Grann practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ira Grann is 1114911443. The last update date is 2007-07-08.
Ira Grann's current location address is 1542 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9046555507 and fax number 9042609897. The mailing address for Ira Grann is 1542 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira Grann |
|---|---|
| Address | 1542 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9046555507 |
| Fax Number | 9042609897 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114911443 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1542 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734586 |
| Phone Number | 9046555507 |
| Fax Number | 9042609897 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW1801 |
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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 Ira Grann's unique identification number?
The Ira Grann has been assigned the NPI (National Provider Identifier) Number 1114911443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ira Grann's physical address?
The Ira Grann is physically located at 1542 Kingsley Ave, in the city of Orange Park, FL, with the postal code 320734586.
What is the Ira Grann's area of specialization and corresponding taxonomy classification?
The Ira Grann's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Ira Grann receive the assignment of its 1114911443 from the Centers for Medicare & Medicaid Services?
The Ira Grann was issued its 1114911443 by the Centers for Medicare & Medicaid Services on 2005-09-01.
When was the information regarding Ira Grann most recently updated?
The details pertaining to the Ira Grann, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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