Stacey Goren is a Clinical in Iowa City, Iowa. Stacey Goren practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Goren is 1457367591. The last update date is 2007-11-21.
Stacey Goren's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193536314 and fax number 3193537788. The mailing address for Stacey Goren is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Goren |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193536314 |
| Fax Number | 3193537788 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1457367591 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193536314 |
| Fax Number | 3193537788 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 212428 |
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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 |
|---|---|---|---|
| 70108 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the Stacey Goren's unique identification number?
The Stacey Goren has been assigned the NPI (National Provider Identifier) Number 1457367591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Stacey Goren located?
The Stacey Goren is located at 200 Hawkins Dr, Iowa City, IA 522421009.
What is Stacey Goren's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacey Goren is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Stacey Goren receive its 1457367591 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Goren was assigned its 1457367591 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Stacey Goren most recently updated or revised?
The details related to Stacey Goren, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-21.