Chassidy M Stanley in Gainesville - Clinical
Chassidy M Stanley - NPI 1477564367
Chassidy M Stanley is a Clinical in Gainesville, Georgia. Chassidy M Stanley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chassidy M Stanley is 1477564367. The last update date is 2017-02-22.
Chassidy M Stanley's current location address is 705 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can contact this provider via phone number 7707189790 and fax number 7707185531. The mailing address for Chassidy M Stanley is 705 Jesse Jewell Pkwy Se, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chassidy M Stanley |
|---|---|
| Address | 705 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Phone Number | 7707189790 |
| Fax Number | 7707185531 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1477564367 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2017-02-22 |
Provider Mailing Address Detail
| Address | 705 Jesse Jewell Pkwy Se |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305013867 |
| Phone Number | 7707189790 |
| Fax Number | 7707185531 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003469 |
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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 |
|---|---|---|---|
| GRP7811 | GA | MEDICARE B | |
| 392701029A | GA | -- | |
| 392701029B | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chassidy M Stanley by the Centers for Medicare & Medicaid Services?
The Chassidy M Stanley has been assigned the NPI (National Provider Identifier) 1477564367. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Chassidy M Stanley's facilities are geographically located?
The facilities of Chassidy M Stanley are physically situated at the following location: 705 Jesse Jewell Pkwy Se, Gainesville, GA, 305013867.
What is Chassidy M Stanley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chassidy M Stanley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Chassidy M Stanley receive its 1477564367?
The Chassidy M Stanley was issued its 1477564367 on 2006-08-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Chassidy M Stanley most recently updated or refreshed?
The details pertaining to the Chassidy M Stanley, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-22.
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