Shirlene Mineta Gordon in Marietta - Clinical
Shirlene Mineta Gordon - NPI 1982851820
Shirlene Mineta Gordon is a Clinical in Marietta, Georgia. Shirlene Mineta Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shirlene Mineta Gordon is 1982851820. The last update date is 2008-08-21.
Shirlene Mineta Gordon's current location address is 2500 Dallas Hwy Sw Ste 202, Marietta, Georgia. You can contact this provider via phone number 7709128894 and fax number 7705737316. The mailing address for Shirlene Mineta Gordon is 2500 Dallas Hwy Sw Ste 202, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirlene Mineta Gordon |
|---|---|
| Address | 2500 Dallas Hwy Sw Ste 202, Marietta, Georgia |
| Phone Number | 7709128894 |
| Fax Number | 7705737316 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1982851820 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 2500 Dallas Hwy Sw Ste 202 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300647505 |
| Phone Number | 7709128894 |
| Fax Number | 7705737316 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2518 |
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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 10-digit identifier code issued to Shirlene Mineta Gordon by the Centers for Medicare & Medicaid Services?
The Shirlene Mineta Gordon has been assigned the NPI (National Provider Identifier) 1982851820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shirlene Mineta Gordon's facilities are geographically located?
The facilities of Shirlene Mineta Gordon are physically situated at the following location: 2500 Dallas Hwy Sw Ste 202, Marietta, GA, 300647505.
What is Shirlene Mineta Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shirlene Mineta Gordon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1982851820 assigned to Shirlene Mineta Gordon?
The Shirlene Mineta Gordon was issued its 1982851820 on 2008-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shirlene Mineta Gordon most recently updated?
The details pertaining to the Shirlene Mineta Gordon, including its address, specialty, and other relevant information, were last refreshed on 2008-08-21.
NPI Number: 1851381982
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