Marie T Gomba is a Clinical in Annapolis, Maryland. Marie T Gomba practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marie T Gomba is 1336275114. The last update date is 2018-12-13.
Marie T Gomba's current location address is 2644 Riva Rd, Annapolis, Maryland. You can contact this provider via phone number 4102225000. The mailing address for Marie T Gomba is 2644 Riva Rd, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie T Gomba |
|---|---|
| Address | 2644 Riva Rd, Annapolis, Maryland |
| Phone Number | 4102225000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW , LCSW |
NPI Number Detail
| NPI Number | 1336275114 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2018-12-13 |
Provider Mailing Address Detail
| Address | 2644 Riva Rd |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214017427 |
| Phone Number | 4102225000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 160804 | MD | VALUE OPTIONS | |
| R731 0005 | MD | CAREFIRST BLUECROSS BLUES |
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What is the Marie T Gomba's unique identification number?
The Marie T Gomba has been assigned the NPI (National Provider Identifier) Number 1336275114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Marie T Gomba is located?
The Marie T Gomba is situated at the following address: 2644 Riva Rd, Annapolis, MD, 214017427.
What is Marie T Gomba's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marie T Gomba's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Marie T Gomba's 1336275114 issued?
The Marie T Gomba's 1336275114 was issued on 2007-02-26.
When was the information regarding Marie T Gomba most recently updated?
The details pertaining to the Marie T Gomba, including its address, specialty, and other relevant information, were last refreshed on 2018-12-13.