Edithe Anne Gagnon is a Clinical in Bangor, Maine. Edithe Anne Gagnon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edithe Anne Gagnon is 1265594832. The last update date is 2007-07-08.
Edithe Anne Gagnon's current location address is 157 Park St, Bangor, Maine. You can contact this provider via phone number 2079453911. The mailing address for Edithe Anne Gagnon is 157 Park St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edithe Anne Gagnon |
|---|---|
| Address | 157 Park St, Bangor, Maine |
| Phone Number | 2079453911 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, DCSW |
NPI Number Detail
| NPI Number | 1265594832 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 157 Park St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015093 |
| Phone Number | 2079453911 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC7700 |
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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 Edithe Anne Gagnon by the Centers for Medicare & Medicaid Services?
The Edithe Anne Gagnon has been assigned the NPI (National Provider Identifier) 1265594832 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Edithe Anne Gagnon is located?
The Edithe Anne Gagnon is situated at the following address: 157 Park St, Bangor, ME, 44015093.
What is Edithe Anne Gagnon'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 Edithe Anne Gagnon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265594832 to Edithe Anne Gagnon?
The Centers for Medicare & Medicaid Services originally issued the 1265594832 to Edithe Anne Gagnon on 2006-12-13.
As of what date was the information regarding Edithe Anne Gagnon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edithe Anne Gagnon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.