Katie Irene Gendron in Jenison - Clinical

Katie Irene Gendron - NPI 1013119759

Katie Irene Gendron is a Clinical in Jenison, Michigan. Katie Irene Gendron practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katie Irene Gendron is 1013119759. The last update date is 2013-11-25.

Katie Irene Gendron's current location address is 1836 Baldwin St, Jenison, Michigan. You can contact this provider via phone number 6164570016. The mailing address for Katie Irene Gendron is 1836 Baldwin St, Jenison, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Katie Irene Gendron
Address 1836 Baldwin St, Jenison, Michigan
Phone Number 6164570016
Fax Number
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1013119759
Provider Enumeration Date 2007-06-04
Last Updated Date 2013-11-25

Provider Mailing Address Detail

Address 1836 Baldwin St
City Jenison
State Michigan (MI)
Post Code 494288901
Phone Number 6164570016
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801072532
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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FAQs about Katie Irene Gendron

What is the unique 10-digit identification code issued to Katie Irene Gendron by the Centers for Medicare & Medicaid Services?

The Katie Irene Gendron has been assigned the NPI (National Provider Identifier) 1013119759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Katie Irene Gendron is located?

The Katie Irene Gendron is situated at the following address: 1836 Baldwin St, Jenison, MI, 494288901.

What is Katie Irene Gendron's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Katie Irene Gendron is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Katie Irene Gendron receive the assignment of its 1013119759 from the Centers for Medicare & Medicaid Services?

The Katie Irene Gendron was issued its 1013119759 by the Centers for Medicare & Medicaid Services on 2007-06-04.

When was the information regarding Katie Irene Gendron, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Katie Irene Gendron, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-11-25.

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