Marita Jo Gallaway is a Clinical in Marion, Indiana. Marita Jo Gallaway practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marita Jo Gallaway is 1669488482. The last update date is 2007-07-08.
Marita Jo Gallaway's current location address is 1700 E 38th St, Marion, Indiana. You can contact this provider via phone number 7656743321 and fax number 7656775115. The mailing address for Marita Jo Gallaway is 1700 E 38th St, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marita Jo Gallaway |
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Address | 1700 E 38th St, Marion, Indiana |
Phone Number | 7656743321 |
Fax Number | 7656775115 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1669488482 |
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Provider Enumeration Date | 2006-08-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1700 E 38th St |
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City | Marion |
State | Indiana (IN) |
Post Code | 469534568 |
Phone Number | 7656743321 |
Fax Number | 7656775115 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 34005058A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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34005058A | IN | LICENSURE NUMBER FOR LCSW |
Post Comment/ Review Below
What is the Marita Jo Gallaway's unique identification number?
The Marita Jo Gallaway has been assigned the NPI (National Provider Identifier) Number 1669488482 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 location address where Marita Jo Gallaway's facilities are situated?
The facilities of Marita Jo Gallaway are physically located at the following address: 1700 E 38Th St, Marion, IN, 469534568.
What is Marita Jo Gallaway's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marita Jo Gallaway's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Marita Jo Gallaway receive its 1669488482 assignment?
The Marita Jo Gallaway was assigned its 1669488482 on 2006-08-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Marita Jo Gallaway last refreshed?
The information related to the Marita Jo Gallaway, including its address, specialty, and other relevant details, was last updated on 2007-07-08.