Gwendolen Haydon Davis in St Johns - Clinical
Gwendolen Haydon Davis - NPI 1043360639
Gwendolen Haydon Davis is a Clinical in St Johns, Florida. Gwendolen Haydon Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwendolen Haydon Davis is 1043360639. The last update date is 2022-12-07.
Gwendolen Haydon Davis's current location address is 1208 S Kyle Way, St Johns, Florida. You can contact this provider via phone number 9047165619. The mailing address for Gwendolen Haydon Davis is 1208 S Kyle Way, St Johns, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolen Haydon Davis |
|---|---|
| Address | 1208 S Kyle Way, St Johns, Florida |
| Phone Number | 9047165619 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1043360639 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2022-12-07 |
Provider Mailing Address Detail
| Address | 1208 S Kyle Way |
|---|---|
| City | St Johns |
| State | Florida (FL) |
| Post Code | 322591928 |
| Phone Number | 9047165619 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW7677 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z074E | FL | BCBS OUT OF NETWORK PROV | |
| 277216 | FL | MHN | |
| 61642215 | FL | INIDIVDUAL TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Gwendolen Haydon Davis by the Centers for Medicare & Medicaid Services?
The Gwendolen Haydon Davis has been assigned the NPI (National Provider Identifier) 1043360639. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gwendolen Haydon Davis?
The Gwendolen Haydon Davis is physically situated at 1208 S Kyle Way, in the city of St Johns, state of FL, with the postal code 322591928.
What is Gwendolen Haydon Davis'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 Gwendolen Haydon Davis is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Gwendolen Haydon Davis receive the assignment of its 1043360639 from the Centers for Medicare & Medicaid Services?
The Gwendolen Haydon Davis was issued its 1043360639 by the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information related to Gwendolen Haydon Davis most recently updated or refreshed?
The details pertaining to the Gwendolen Haydon Davis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-07.
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