Laura A Gaines is a Clinical in Bowling Green, Kentucky. Laura A Gaines practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura A Gaines is 1306987847. The last update date is 2017-12-18.
Laura A Gaines's current location address is 380 Suwannee Trail St, Bowling Green, Kentucky. You can contact this provider via phone number 2709015000 and fax number 2708425268. The mailing address for Laura A Gaines is 380 Suwannee Trail St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura A Gaines |
|---|---|
| Address | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306987847 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2017-12-18 |
Provider Mailing Address Detail
| Address | 380 Suwannee Trail St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421037956 |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3153 |
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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 |
|---|---|---|---|
| 7100291210 | KY | -- |
Post Comment/ Review Below
What is the Laura A Gaines's unique identification number?
The Laura A Gaines has been assigned the NPI (National Provider Identifier) Number 1306987847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Laura A Gaines located?
The Laura A Gaines is located at 380 Suwannee Trail St, Bowling Green, KY 421037956.
What is Laura A Gaines's specialized field of practice, and what is the corresponding taxonomy classification code?
The Laura A Gaines's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1306987847 assigned to Laura A Gaines?
The Laura A Gaines was issued its 1306987847 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laura A Gaines most recently updated or revised?
The information pertaining to Laura A Gaines, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-18.
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