Jeffrey Gordon White in Kalamazoo - Clinical
Jeffrey Gordon White - NPI 1538213103
Jeffrey Gordon White is a Clinical in Kalamazoo, Michigan. Jeffrey Gordon White practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Gordon White is 1538213103. The last update date is 2011-10-20.
Jeffrey Gordon White's current location address is 5121 Willowbend Trl, Kalamazoo, Michigan. You can contact this provider via phone number 9173555801. The mailing address for Jeffrey Gordon White is 5121 Willowbend Trl, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Gordon White |
|---|---|
| Address | 5121 Willowbend Trl, Kalamazoo, Michigan |
| Phone Number | 9173555801 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1538213103 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
| Address | 5121 Willowbend Trl |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490099593 |
| Phone Number | 9173555801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7303 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey Gordon White by the Centers for Medicare & Medicaid Services?
The Jeffrey Gordon White has been issued the NPI (National Provider Identifier) 1538213103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey Gordon White?
The Jeffrey Gordon White is situated at 5121 Willowbend Trl, in the city of Kalamazoo, state of MI, with the zip code 490099593.
What is the Jeffrey Gordon White's specialty and taxonomy code?
The Jeffrey Gordon White's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Jeffrey Gordon White receive its 1538213103 assignment?
The Jeffrey Gordon White was assigned its 1538213103 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jeffrey Gordon White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Gordon White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-20.