Shelly Marie Gore is a Clinical in Chicago, Illinois. Shelly Marie Gore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelly Marie Gore is 1720122989. The last update date is 2007-07-08.
Shelly Marie Gore's current location address is 4327 N Hermitage Ave Apt 1w, Chicago, Illinois. You can contact this provider via phone number 7732968247. The mailing address for Shelly Marie Gore is 4327 N Hermitage Ave Apt 1w, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Marie Gore |
|---|---|
| Address | 4327 N Hermitage Ave Apt 1w, Chicago, Illinois |
| Phone Number | 7732968247 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720122989 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4327 N Hermitage Ave Apt 1w |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606131126 |
| Phone Number | 7732968247 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Shelly Marie Gore by the Centers for Medicare & Medicaid Services?
The Shelly Marie Gore has been assigned the NPI (National Provider Identifier) 1720122989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shelly Marie Gore?
The Shelly Marie Gore is physically situated at 4327 N Hermitage Ave Apt 1W, in the city of Chicago, state of IL, with the postal code 606131126.
What is Shelly Marie Gore's area of expertise and its corresponding taxonomy classification?
The Shelly Marie Gore'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 Centers for Medicare & Medicaid Services assign the 1720122989 to Shelly Marie Gore?
The Centers for Medicare & Medicaid Services assigned the 1720122989 to Shelly Marie Gore on 2007-02-19.
When was the information related to Shelly Marie Gore most recently updated or refreshed?
The details pertaining to the Shelly Marie Gore, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC