Karl M Gustafson is a Clinical in Fitchburg, Massachusetts. Karl M Gustafson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karl M Gustafson is 1952454282. The last update date is 2007-07-08.
Karl M Gustafson's current location address is 68 Albee St, Fitchburg, Massachusetts. You can contact this provider via phone number 5083347587. The mailing address for Karl M Gustafson is 68 Albee St, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karl M Gustafson |
|---|---|
| Address | 68 Albee St, Fitchburg, Massachusetts |
| Phone Number | 5083347587 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1952454282 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 68 Albee St |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14206402 |
| Phone Number | 5083347587 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105396 |
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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 identifier code issued to Karl M Gustafson by the Centers for Medicare & Medicaid Services?
The Karl M Gustafson has been assigned the NPI (National Provider Identifier) 1952454282 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Karl M Gustafson's facilities are situated?
The facilities of Karl M Gustafson are physically located at the following address: 68 Albee St, Fitchburg, MA, 14206402.
What is Karl M Gustafson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Karl M Gustafson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952454282 to Karl M Gustafson?
The Karl M Gustafson received its 1952454282 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Karl M Gustafson most recently updated or revised?
The information pertaining to Karl M Gustafson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.