Kellyanne Charlotte Gibson in Baltimore - Clinical
Kellyanne Charlotte Gibson - NPI 1619071289
Kellyanne Charlotte Gibson is a Clinical in Baltimore, Maryland. Kellyanne Charlotte Gibson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kellyanne Charlotte Gibson is 1619071289. The last update date is 2007-11-20.
Kellyanne Charlotte Gibson's current location address is 10 N Greene St, Baltimore, Maryland. You can contact this provider via phone number 4106057449 and fax number 4106057731. The mailing address for Kellyanne Charlotte Gibson is 10 N Greene St, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellyanne Charlotte Gibson |
|---|---|
| Address | 10 N Greene St, Baltimore, Maryland |
| Phone Number | 4106057449 |
| Fax Number | 4106057731 |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1619071289 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 10 N Greene St |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212011524 |
| Phone Number | 4106057449 |
| Fax Number | 4106057731 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 13647 |
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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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Post Comment/ Review Below
What is the Kellyanne Charlotte Gibson's unique identification number?
The Kellyanne Charlotte Gibson has been assigned the NPI (National Provider Identifier) Number 1619071289 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 address where Kellyanne Charlotte Gibson is physically located?
The Kellyanne Charlotte Gibson is situated at the following address: 10 N Greene St, Baltimore, MD 212011524.
What is the area of specialization for Kellyanne Charlotte Gibson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kellyanne Charlotte Gibson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Kellyanne Charlotte Gibson receive its 1619071289 assignment from the Centers for Medicare & Medicaid Services?
The Kellyanne Charlotte Gibson was assigned its 1619071289 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the information regarding Kellyanne Charlotte Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kellyanne Charlotte Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-20.
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