Gwendolyn Mellott in Hagerstown - Clinical
Gwendolyn Mellott - NPI 1124094602
Gwendolyn Mellott is a Clinical in Hagerstown, Maryland. Gwendolyn Mellott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwendolyn Mellott is 1124094602. The last update date is 2018-02-20.
Gwendolyn Mellott's current location address is 13121 Brook Lane, Hagerstown, Maryland. You can contact this provider via phone number 3017330331 and fax number 3017334038. The mailing address for Gwendolyn Mellott is 13121 Brook Lane, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gwendolyn Mellott |
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Address | 13121 Brook Lane, Hagerstown, Maryland |
Phone Number | 3017330331 |
Fax Number | 3017334038 |
Sole Proprietor | N |
Credentials | LCSWC |
NPI Number Detail
NPI Number | 1124094602 |
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Provider Enumeration Date | 2006-02-24 |
Last Updated Date | 2018-02-20 |
Provider Mailing Address Detail
Address | 13121 Brook Lane |
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City | Hagerstown |
State | Maryland (MD) |
Post Code | 217421514 |
Phone Number | 3017330331 |
Fax Number | 3017334038 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 10663 |
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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986965400 | MD | -- |
Post Comment/ Review Below
What is the Gwendolyn Mellott's unique identification number?
The Gwendolyn Mellott has been assigned the NPI (National Provider Identifier) Number 1124094602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gwendolyn Mellott's facilities are situated?
The facilities of Gwendolyn Mellott are physically located at the following address: 13121 Brook Lane, Hagerstown, MD, 217421514.
What is Gwendolyn Mellott's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gwendolyn Mellott's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Gwendolyn Mellott's 1124094602 issued?
The Gwendolyn Mellott's 1124094602 was issued on 2006-02-24.
As of what date were the details related to Gwendolyn Mellott most recently updated or revised?
The information pertaining to Gwendolyn Mellott, including its address, specialty, and other relevant details, was last updated or revised on 2018-02-20.