Lisa M Gwaltney is a Clinical in Evansville, Indiana. Lisa M Gwaltney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa M Gwaltney is 1114938222. The last update date is 2010-04-20.
Lisa M Gwaltney's current location address is 4001 John St, Evansville, Indiana. You can contact this provider via phone number 8124733144 and fax number 8124227558. The mailing address for Lisa M Gwaltney is 4001 John St, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Gwaltney |
|---|---|
| Address | 4001 John St, Evansville, Indiana |
| Phone Number | 8124733144 |
| Fax Number | 8124227558 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1114938222 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2010-04-20 |
Provider Mailing Address Detail
| Address | 4001 John St |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477140216 |
| Phone Number | 8124733144 |
| Fax Number | 8124227558 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003974A |
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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 |
|---|---|---|---|
| 181765 | IN | ANTHEM | |
| 100240880 | IN | -- |
Post Comment/ Review Below
What is the Lisa M Gwaltney's unique identification number?
The Lisa M Gwaltney has been assigned the NPI (National Provider Identifier) Number 1114938222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Lisa M Gwaltney is geographically located?
The Lisa M Gwaltney is physically situated at the following location: 4001 John St, Evansville, IN, 477140216.
What is the area of specialization for Lisa M Gwaltney, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa M Gwaltney is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Lisa M Gwaltney's 1114938222 issued?
The Lisa M Gwaltney's 1114938222 was issued on 2006-08-11.
When was the information pertaining to Lisa M Gwaltney most recently updated or revised?
The details related to Lisa M Gwaltney, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-20.