Julia Gage Carlson is a Clinical in Boston, Massachusetts. Julia Gage Carlson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julia Gage Carlson is 1184845265. The last update date is 2007-07-08.
Julia Gage Carlson's current location address is 66 Canal St, Boston, Massachusetts. You can contact this provider via phone number 6173713040. The mailing address for Julia Gage Carlson is 66 Canal St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Gage Carlson |
|---|---|
| Address | 66 Canal St, Boston, Massachusetts |
| Phone Number | 6173713040 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1184845265 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Canal St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142002 |
| Phone Number | 6173713040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 114004 |
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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 |
|---|---|---|---|
| 114004 | MA | LICSW |
Post Comment/ Review Below
What is the unique provider identifier assigned to Julia Gage Carlson?
The Julia Gage Carlson has been issued the NPI (National Provider Identifier) 1184845265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Julia Gage Carlson is geographically located?
The Julia Gage Carlson is physically situated at the following location: 66 Canal St, Boston, MA, 21142002.
What is Julia Gage Carlson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Julia Gage Carlson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Julia Gage Carlson receive its 1184845265 assignment from the Centers for Medicare & Medicaid Services?
The Julia Gage Carlson was assigned its 1184845265 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Julia Gage Carlson's details last updated?
The information pertaining to the Julia Gage Carlson, including its address, specialty, and other details, was most recently updated on 2007-07-08.