Wayne Marshall Gerard in Fort Wayne - Clinical
Wayne Marshall Gerard - NPI 1760411532
Wayne Marshall Gerard is a Clinical in Fort Wayne, Indiana. Wayne Marshall Gerard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne Marshall Gerard is 1760411532. The last update date is 2007-07-08.
Wayne Marshall Gerard's current location address is 4656 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604229372 and fax number 2604220843. The mailing address for Wayne Marshall Gerard is 4656 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Marshall Gerard |
|---|---|
| Address | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
| Sole Proprietor | N |
| Credentials | LCSW DCSW |
NPI Number Detail
| NPI Number | 1760411532 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4656 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 46804 |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001686A |
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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 |
|---|---|---|---|
| 4405318 | IN | AETNA | |
| 143197 | IN | ANTHEM | |
| 280469 | IN | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wayne Marshall Gerard by the Centers for Medicare & Medicaid Services?
The Wayne Marshall Gerard has been assigned the NPI (National Provider Identifier) 1760411532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Wayne Marshall Gerard is located?
The Wayne Marshall Gerard is situated at the following address: 4656 W Jefferson Blvd, Fort Wayne, IN, 46804.
What is the area of specialization for Wayne Marshall Gerard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wayne Marshall Gerard is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1760411532 assigned to Wayne Marshall Gerard?
The Wayne Marshall Gerard was issued its 1760411532 on 2006-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Wayne Marshall Gerard's information last updated?
The Wayne Marshall Gerard's information was last updated on 2007-07-08.
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