Elizabeth Gonnerman in Cambridge - Clinical
Elizabeth Gonnerman - NPI 1932273661
Elizabeth Gonnerman is a Clinical in Cambridge, Massachusetts. Elizabeth Gonnerman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Gonnerman is 1932273661. The last update date is 2010-01-05.
Elizabeth Gonnerman's current location address is 330 Mount Auburn St, Cambridge, Massachusetts. You can contact this provider via phone number 6174995054 and fax number 6174995465. The mailing address for Elizabeth Gonnerman is 330 Mount Auburn St, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Gonnerman |
|---|---|
| Address | 330 Mount Auburn St, Cambridge, Massachusetts |
| Phone Number | 6174995054 |
| Fax Number | 6174995465 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1932273661 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2010-01-05 |
Provider Mailing Address Detail
| Address | 330 Mount Auburn St |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21385502 |
| Phone Number | 6174995054 |
| Fax Number | 6174995465 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1017950 |
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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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What is the unique 10-digit identification code issued to Elizabeth Gonnerman by the Centers for Medicare & Medicaid Services?
The Elizabeth Gonnerman has been assigned the NPI (National Provider Identifier) 1932273661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Elizabeth Gonnerman is located?
The Elizabeth Gonnerman is situated at the following address: 330 Mount Auburn St, Cambridge, MA, 21385502.
What is Elizabeth Gonnerman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elizabeth Gonnerman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932273661 to Elizabeth Gonnerman?
The Centers for Medicare & Medicaid Services originally issued the 1932273661 to Elizabeth Gonnerman on 2006-11-17.
When was the information regarding Elizabeth Gonnerman most recently updated?
The details pertaining to the Elizabeth Gonnerman, including its address, specialty, and other relevant information, were last refreshed on 2010-01-05.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC