Patricia Gardner-Goodof in Marblehead - Clinical
Patricia Gardner-Goodof - NPI 1558381517
Patricia Gardner-Goodof is a Clinical in Marblehead, Massachusetts. Patricia Gardner-Goodof practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Gardner-Goodof is 1558381517. The last update date is 2007-07-08.
Patricia Gardner-Goodof's current location address is 95 Clifton Ave, Marblehead, Massachusetts. You can contact this provider via phone number 7816391193. The mailing address for Patricia Gardner-Goodof is 95 Clifton Ave, Marblehead, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Gardner-Goodof |
|---|---|
| Address | 95 Clifton Ave, Marblehead, Massachusetts |
| Phone Number | 7816391193 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1558381517 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 95 Clifton Ave |
|---|---|
| City | Marblehead |
| State | Massachusetts (MA) |
| Post Code | 19451717 |
| Phone Number | 7816391193 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1022482 |
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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 Patricia Gardner-Goodof by the Centers for Medicare & Medicaid Services?
The Patricia Gardner-Goodof has been assigned the NPI (National Provider Identifier) 1558381517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Patricia Gardner-Goodof's physical address?
The Patricia Gardner-Goodof is physically located at 95 Clifton Ave, in the city of Marblehead, MA, with the postal code 19451717.
What is Patricia Gardner-Goodof's area of expertise and its corresponding taxonomy classification?
The Patricia Gardner-Goodof's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Patricia Gardner-Goodof receive its 1558381517?
The Patricia Gardner-Goodof was issued its 1558381517 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
When was the Patricia Gardner-Goodof's information last updated?
The Patricia Gardner-Goodof's information was last updated on 2007-07-08.