Kathryn A Goe is a Clinical in Detroit, Michigan. Kathryn A Goe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn A Goe is 1992725311. The last update date is 2018-09-28.
Kathryn A Goe's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139164465 and fax number 3139162766. The mailing address for Kathryn A Goe is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn A Goe |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139164465 |
| Fax Number | 3139162766 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992725311 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2018-09-28 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139164465 |
| Fax Number | 3139162766 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004836 |
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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 |
|---|---|---|---|
| 6003658 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathryn A Goe by the Centers for Medicare & Medicaid Services?
The Kathryn A Goe has been assigned the NPI (National Provider Identifier) 1992725311. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kathryn A Goe is geographically located?
The Kathryn A Goe is physically situated at the following location: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is Kathryn A Goe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathryn A Goe's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992725311 to Kathryn A Goe?
The Centers for Medicare & Medicaid Services originally issued the 1992725311 to Kathryn A Goe on 2006-07-20.
When was the information pertaining to Kathryn A Goe most recently updated or revised?
The details related to Kathryn A Goe, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-28.