Stacy Lynn Garton in South Bend - Clinical
Stacy Lynn Garton - NPI 1114104098
Stacy Lynn Garton is a Clinical in South Bend, Indiana. Stacy Lynn Garton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Lynn Garton is 1114104098. The last update date is 2022-04-27.
Stacy Lynn Garton's current location address is 3516 E Jefferson Blvd, South Bend, Indiana. You can contact this provider via phone number 5742874197 and fax number 5742874393. The mailing address for Stacy Lynn Garton is 3516 E Jefferson Blvd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Lynn Garton |
|---|---|
| Address | 3516 E Jefferson Blvd, South Bend, Indiana |
| Phone Number | 5742874197 |
| Fax Number | 5742874393 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114104098 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2022-04-27 |
Provider Mailing Address Detail
| Address | 3516 E Jefferson Blvd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466153034 |
| Phone Number | 5742874197 |
| Fax Number | 5742874393 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 255048 |
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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 unique 10-digit identification code issued to Stacy Lynn Garton by the Centers for Medicare & Medicaid Services?
The Stacy Lynn Garton has been assigned the NPI (National Provider Identifier) 1114104098 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Stacy Lynn Garton?
The Stacy Lynn Garton is situated at 3516 E Jefferson Blvd, in the city of South Bend, state of IN, with the zip code 466153034.
What is the area of specialization for Stacy Lynn Garton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Lynn Garton is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Stacy Lynn Garton receive its 1114104098 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Lynn Garton was assigned its 1114104098 on 2008-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Stacy Lynn Garton's information last updated?
The Stacy Lynn Garton's information was last updated on 2022-04-27.