Donna Endsley Real is a Clinical in Atlanta, Georgia. Donna Endsley Real practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Endsley Real is 1801096466. The last update date is 2007-07-23.
Donna Endsley Real's current location address is 734 Briar Park Ct Ne, Atlanta, Georgia. You can contact this provider via phone number 4047335502. The mailing address for Donna Endsley Real is 734 Briar Park Ct Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Endsley Real |
|---|---|
| Address | 734 Briar Park Ct Ne, Atlanta, Georgia |
| Phone Number | 4047335502 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1801096466 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 734 Briar Park Ct Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303062101 |
| Phone Number | 4047335502 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003216 |
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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 unique provider identifier assigned to Donna Endsley Real?
The Donna Endsley Real has been issued the NPI (National Provider Identifier) 1801096466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Donna Endsley Real's physical address?
The Donna Endsley Real is physically located at 734 Briar Park Ct Ne, in the city of Atlanta, GA, with the postal code 303062101.
What is Donna Endsley Real'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 Donna Endsley Real is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801096466 to Donna Endsley Real?
The Centers for Medicare & Medicaid Services originally issued the 1801096466 to Donna Endsley Real on 2007-07-23.
As of what date were the details related to Donna Endsley Real most recently updated or revised?
The information pertaining to Donna Endsley Real, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-23.