Phyllis Gateskill Starks in Indianapolis - Clinical
Phyllis Gateskill Starks - NPI 1750496063
Phyllis Gateskill Starks is a Clinical in Indianapolis, Indiana. Phyllis Gateskill Starks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Gateskill Starks is 1750496063. The last update date is 2022-05-18.
Phyllis Gateskill Starks's current location address is 4926 Common Vista Ct, Indianapolis, Indiana. You can contact this provider via phone number 3177300023 and fax number 3179882884. The mailing address for Phyllis Gateskill Starks is 4926 Common Vista Ct, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Gateskill Starks |
|---|---|
| Address | 4926 Common Vista Ct, Indianapolis, Indiana |
| Phone Number | 3177300023 |
| Fax Number | 3179882884 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1750496063 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-05-18 |
Provider Mailing Address Detail
| Address | 4926 Common Vista Ct |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462205394 |
| Phone Number | 3177300023 |
| Fax Number | 3179882884 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000936A |
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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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What is the Phyllis Gateskill Starks's 1750496063?
The Phyllis Gateskill Starks's NPI (National Provider Identifier) Number is 1750496063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Phyllis Gateskill Starks?
The Phyllis Gateskill Starks is physically situated at 4926 Common Vista Ct, in the city of Indianapolis, state of IN, with the postal code 462205394.
What is Phyllis Gateskill Starks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phyllis Gateskill Starks is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Phyllis Gateskill Starks receive the assignment of its 1750496063 from the Centers for Medicare & Medicaid Services?
The Phyllis Gateskill Starks was issued its 1750496063 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the details pertaining to Phyllis Gateskill Starks last refreshed?
The information related to the Phyllis Gateskill Starks, including its address, specialty, and other relevant details, was last updated on 2022-05-18.