Donna Marie Bradshaw Brubak in Fort Stewart - Clinical
Donna Marie Bradshaw Brubak - NPI 1053581520
Donna Marie Bradshaw Brubak is a Clinical in Fort Stewart, Georgia. Donna Marie Bradshaw Brubak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Marie Bradshaw Brubak is 1053581520. The last update date is 2016-06-08.
Donna Marie Bradshaw Brubak's current location address is 1061 Harmon Ave, Fort Stewart, Georgia. You can contact this provider via phone number 9124351342. The mailing address for Donna Marie Bradshaw Brubak is 1061 Harmon Ave, Fort Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Donna Marie Bradshaw Brubak |
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Address | 1061 Harmon Ave, Fort Stewart, Georgia |
Phone Number | 9124351342 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1053581520 |
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Provider Enumeration Date | 2008-03-11 |
Last Updated Date | 2016-06-08 |
Provider Mailing Address Detail
Address | 1061 Harmon Ave |
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City | Fort Stewart |
State | Georgia (GA) |
Post Code | 313145674 |
Phone Number | 9124351342 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 904005244 |
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 10-digit identifier code assigned to Donna Marie Bradshaw Brubak by the Centers for Medicare & Medicaid Services?
The Donna Marie Bradshaw Brubak has been issued the NPI (National Provider Identifier) 1053581520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Donna Marie Bradshaw Brubak?
The Donna Marie Bradshaw Brubak is physically situated at 1061 Harmon Ave, in the city of Fort Stewart, state of GA, with the postal code 313145674.
What is Donna Marie Bradshaw Brubak's area of expertise and its corresponding taxonomy classification?
The Donna Marie Bradshaw Brubak's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Donna Marie Bradshaw Brubak receive the assignment of its 1053581520 from the Centers for Medicare & Medicaid Services?
The Donna Marie Bradshaw Brubak was issued its 1053581520 by the Centers for Medicare & Medicaid Services on 2008-03-11.
When was the Donna Marie Bradshaw Brubak's information last updated?
The Donna Marie Bradshaw Brubak's information was last updated on 2016-06-08.