Cornel S Gray in Washington - Clinical

Cornel S Gray - NPI 1114000288

Cornel S Gray is a Clinical in Washington, Indiana. Cornel S Gray practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cornel S Gray is 1114000288. The last update date is 2007-07-08.

Cornel S Gray's current location address is 1402 Grand Ave, Washington, Indiana. You can contact this provider via phone number 8122548634 and fax number 8122578609. The mailing address for Cornel S Gray is 1402 Grand Ave, Washington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Cornel S Gray
Address 1402 Grand Ave, Washington, Indiana
Phone Number 8122548634
Fax Number 8122578609
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1114000288
Provider Enumeration Date 2006-10-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1402 Grand Ave
City Washington
State Indiana (IN)
Post Code 475012122
Phone Number 8122548634
Fax Number 8122578609

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34003788A
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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FAQs about Cornel S Gray

What is the unique provider identifier assigned to Cornel S Gray?

The Cornel S Gray has been issued the NPI (National Provider Identifier) 1114000288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Cornel S Gray's facilities are situated?

The facilities of Cornel S Gray are physically located at the following address: 1402 Grand Ave, Washington, IN, 475012122.

What is the Cornel S Gray's area of specialization and corresponding taxonomy classification?

The Cornel S Gray's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When was the Cornel S Gray's 1114000288 issued?

The Cornel S Gray's 1114000288 was issued on 2006-10-23.

As of what date was the information pertaining to Cornel S Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cornel S Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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