Triad Ep, Pc is a Clinical in Marietta, Georgia. Triad Ep, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Triad Ep, Pc is 1386806412. The last update date is 2013-01-02.
Triad Ep, Pc's current location address is 316 Alexander St Se, Marietta, Georgia. You can contact this provider via phone number 7703318760 and fax number 6785810146. The mailing address for Triad Ep, Pc is 316 Alexander St Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Triad Ep, Pc |
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Address | 316 Alexander St Se, Marietta, Georgia |
Phone Number | 7703318760 |
Fax Number | 6785810146 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Glick David |
Credentials | LCSW |
Telephone Number | 7703318760 |
NPI Number Detail
NPI Number | 1386806412 |
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Provider Enumeration Date | 2008-06-30 |
Last Updated Date | 2013-01-02 |
Provider Mailing Address Detail
Address | 316 Alexander St Se |
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City | Marietta |
State | Georgia (GA) |
Post Code | 300602001 |
Phone Number | 7703318760 |
Fax Number | 6785810146 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CSW002732 |
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 Triad Ep, Pc's 1386806412?
The Triad Ep, Pc's NPI (National Provider Identifier) Number is 1386806412. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Triad Ep, Pc's facilities are geographically located?
The facilities of Triad Ep, Pc are physically situated at the following location: 316 Alexander St Se, Marietta, GA, 300602001.
What is Triad Ep, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Triad Ep, Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386806412 to Triad Ep, Pc?
The Triad Ep, Pc received its 1386806412 assignment from the Centers for Medicare & Medicaid Services on 2008-06-30.
When was the information related to Triad Ep, Pc most recently updated or refreshed?
The details pertaining to the Triad Ep, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-02.
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