Brent Davison is a Clinical in Gloucester, Massachusetts. Brent Davison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brent Davison is 1679631527. The last update date is 2018-07-24.
Brent Davison's current location address is 92 Prospect St, Gloucester, Massachusetts. You can contact this provider via phone number 6176052279 and fax number 9782811739. The mailing address for Brent Davison is 92 Prospect St, Gloucester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Davison |
|---|---|
| Address | 92 Prospect St, Gloucester, Massachusetts |
| Phone Number | 6176052279 |
| Fax Number | 9782811739 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1679631527 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2018-07-24 |
Provider Mailing Address Detail
| Address | 92 Prospect St |
|---|---|
| City | Gloucester |
| State | Massachusetts (MA) |
| Post Code | 19303710 |
| Phone Number | 6176052279 |
| Fax Number | 9782811739 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 101369 |
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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 unique 10-digit identification code assigned to Brent Davison by the Centers for Medicare & Medicaid Services?
The Brent Davison has been issued the NPI (National Provider Identifier) 1679631527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brent Davison's facilities are geographically located?
The facilities of Brent Davison are physically situated at the following location: 92 Prospect St, Gloucester, MA, 19303710.
What is Brent Davison's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brent Davison's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Brent Davison receive its 1679631527 assignment?
The Brent Davison was assigned its 1679631527 on 2006-12-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Brent Davison most recently updated?
The details pertaining to the Brent Davison, including its address, specialty, and other relevant information, were last refreshed on 2018-07-24.
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