Glenda L Davenport in Tarpon Springs - Clinical
Glenda L Davenport - NPI 1639168297
Glenda L Davenport is a Clinical in Tarpon Springs, Florida. Glenda L Davenport practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenda L Davenport is 1639168297. The last update date is 2011-11-17.
Glenda L Davenport's current location address is Po Box 1996, Tarpon Springs, Florida. You can contact this provider via phone number 7275608225 and fax number 7279420252. The mailing address for Glenda L Davenport is Po Box 1996, Tarpon Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenda L Davenport |
|---|---|
| Address | Po Box 1996, Tarpon Springs, Florida |
| Phone Number | 7275608225 |
| Fax Number | 7279420252 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639168297 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2011-11-17 |
Provider Mailing Address Detail
| Address | Po Box 1996 |
|---|---|
| City | Tarpon Springs |
| State | Florida (FL) |
| Post Code | 346881996 |
| Phone Number | 7275608225 |
| Fax Number | 7279420252 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW3538 |
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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 |
|---|---|---|---|
| 110337 | FL | AMERIGROUP | |
| SW3538 | FL | LCSW | |
| 5848678 | FL | AETNA | |
| 104602 | FL | VALUE OPTIONS | |
| 6223259 | FL | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Glenda L Davenport by the Centers for Medicare & Medicaid Services?
The Glenda L Davenport has been assigned the NPI (National Provider Identifier) 1639168297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Glenda L Davenport's facilities are situated?
The facilities of Glenda L Davenport are physically located at the following address: Po Box 1996, Tarpon Springs, FL, 346881996.
What is Glenda L Davenport'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 Glenda L Davenport is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Glenda L Davenport receive its 1639168297 assignment?
The Glenda L Davenport was assigned its 1639168297 on 2005-10-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Glenda L Davenport most recently updated or revised?
The details related to Glenda L Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-17.