Gwen Bauer Trader is a Clinical in Baltimore, Maryland. Gwen Bauer Trader practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen Bauer Trader is 1376602920. The last update date is 2007-07-08.
Gwen Bauer Trader's current location address is 8615 Ridgelys Choice Dr, Baltimore, Maryland. You can contact this provider via phone number 4105292151 and fax number 4105291342. The mailing address for Gwen Bauer Trader is 8615 Ridgelys Choice Dr, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gwen Bauer Trader |
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Address | 8615 Ridgelys Choice Dr, Baltimore, Maryland |
Phone Number | 4105292151 |
Fax Number | 4105291342 |
Sole Proprietor | N |
Credentials | LCSWC |
NPI Number Detail
NPI Number | 1376602920 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8615 Ridgelys Choice Dr |
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City | Baltimore |
State | Maryland (MD) |
Post Code | 21236 |
Phone Number | 4105292151 |
Fax Number | 4105291342 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6580 |
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 |
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KL86 | MD | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gwen Bauer Trader?
The Gwen Bauer Trader has been issued the NPI (National Provider Identifier) 1376602920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gwen Bauer Trader located?
The Gwen Bauer Trader is located at 8615 Ridgelys Choice Dr, Baltimore, MD 21236.
What is the area of specialization for Gwen Bauer Trader, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gwen Bauer Trader is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376602920 to Gwen Bauer Trader?
The Gwen Bauer Trader received its 1376602920 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the Gwen Bauer Trader's information last updated?
The Gwen Bauer Trader's information was last updated on 2007-07-08.