Laurie Joanne Gardner in Gardiner - Clinical

Laurie Joanne Gardner - NPI 1659567550

Laurie Joanne Gardner is a Clinical in Gardiner, Maine. Laurie Joanne Gardner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie Joanne Gardner is 1659567550. The last update date is 2007-09-25.

Laurie Joanne Gardner's current location address is 17 Brunswick Ave, Gardiner, Maine. You can contact this provider via phone number 2074620596 and fax number 2075493198. The mailing address for Laurie Joanne Gardner is 17 Brunswick Ave, Gardiner, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie Joanne Gardner
Address 17 Brunswick Ave, Gardiner, Maine
Phone Number 2074620596
Fax Number 2075493198
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1659567550
Provider Enumeration Date 2007-09-25
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 17 Brunswick Ave
City Gardiner
State Maine (ME)
Post Code 43452123
Phone Number 2074620596
Fax Number 2075493198

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC10406
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
431738699 ME --

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FAQs about Laurie Joanne Gardner

What is the unique provider identifier assigned to Laurie Joanne Gardner?

The Laurie Joanne Gardner has been issued the NPI (National Provider Identifier) 1659567550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Laurie Joanne Gardner is located?

The Laurie Joanne Gardner is situated at the following address: 17 Brunswick Ave, Gardiner, ME, 43452123.

What is Laurie Joanne Gardner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Laurie Joanne Gardner is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When was the Laurie Joanne Gardner's 1659567550 issued?

The Laurie Joanne Gardner's 1659567550 was issued on 2007-09-25.

As of what date were the details related to Laurie Joanne Gardner most recently updated or revised?

The information pertaining to Laurie Joanne Gardner, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-25.

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