Laurie L Gillingham in Carsonville - Clinical
Laurie L Gillingham - NPI 1164643870
Laurie L Gillingham is a Clinical in Carsonville, Michigan. Laurie L Gillingham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie L Gillingham is 1164643870. The last update date is 2018-01-31.
Laurie L Gillingham's current location address is 1017 S Lakeshore Rd, Carsonville, Michigan. You can contact this provider via phone number 8106894846 and fax number 8109581430. The mailing address for Laurie L Gillingham is 1017 S Lakeshore Rd, Carsonville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie L Gillingham |
|---|---|
| Address | 1017 S Lakeshore Rd, Carsonville, Michigan |
| Phone Number | 8106894846 |
| Fax Number | 8109581430 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1164643870 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2018-01-31 |
Provider Mailing Address Detail
| Address | 1017 S Lakeshore Rd |
|---|---|
| City | Carsonville |
| State | Michigan (MI) |
| Post Code | 484199494 |
| Phone Number | 8106894846 |
| Fax Number | 8109581430 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C007009 |
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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 identification code assigned to Laurie L Gillingham by the Centers for Medicare & Medicaid Services?
The Laurie L Gillingham has been issued the NPI (National Provider Identifier) 1164643870. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Laurie L Gillingham is physically located?
The Laurie L Gillingham is physically situated at the following address: 1017 S Lakeshore Rd, Carsonville, MI, 484199494.
What is the Laurie L Gillingham's area of specialization and corresponding taxonomy classification?
The Laurie L Gillingham's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Laurie L Gillingham receive the assignment of its 1164643870 from the Centers for Medicare & Medicaid Services?
The Laurie L Gillingham was issued its 1164643870 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information related to Laurie L Gillingham most recently updated or refreshed?
The details pertaining to the Laurie L Gillingham, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-01-31.
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