John Gordon Malis in Newburyport - Clinical
John Gordon Malis - NPI 1346270196
John Gordon Malis is a Clinical in Newburyport, Massachusetts. John Gordon Malis practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Gordon Malis is 1346270196. The last update date is 2008-07-02.
John Gordon Malis's current location address is 169 Water St, Newburyport, Massachusetts. You can contact this provider via phone number 9784636929 and fax number 9784634626. The mailing address for John Gordon Malis is 169 Water St, Newburyport, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gordon Malis |
|---|---|
| Address | 169 Water St, Newburyport, Massachusetts |
| Phone Number | 9784636929 |
| Fax Number | 9784634626 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1346270196 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 169 Water St |
|---|---|
| City | Newburyport |
| State | Massachusetts (MA) |
| Post Code | 19503040 |
| Phone Number | 9784636929 |
| Fax Number | 9784634626 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1019395 |
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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 |
|---|---|---|---|
| 1891367 | MA | -- |
Post Comment/ Review Below
What is the John Gordon Malis's unique identification number?
The John Gordon Malis has been assigned the NPI (National Provider Identifier) Number 1346270196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where John Gordon Malis is located?
The John Gordon Malis is situated at the following address: 169 Water St, Newburyport, MA, 19503040.
What is John Gordon Malis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Gordon Malis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1346270196 assigned to John Gordon Malis?
The John Gordon Malis was issued its 1346270196 on 2006-07-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Gordon Malis last refreshed?
The information related to the John Gordon Malis, including its address, specialty, and other relevant details, was last updated on 2008-07-02.