Laurie R. Gordon is a Clinical in Mason, Michigan. Laurie R. Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie R. Gordon is 1942387170. The last update date is 2012-06-25.
Laurie R. Gordon's current location address is Po Box 43, Mason, Michigan. You can contact this provider via phone number 5176236260 and fax number 5176236460. The mailing address for Laurie R. Gordon is Po Box 43, Mason, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie R. Gordon |
|---|---|
| Address | Po Box 43, Mason, Michigan |
| Phone Number | 5176236260 |
| Fax Number | 5176236460 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1942387170 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2012-06-25 |
Provider Mailing Address Detail
| Address | Po Box 43 |
|---|---|
| City | Mason |
| State | Michigan (MI) |
| Post Code | 488540043 |
| Phone Number | 5176236260 |
| Fax Number | 5176236460 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801034871 |
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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 |
|---|---|---|---|
| 8008975170 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Laurie R. Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Laurie R. Gordon has been assigned the NPI (National Provider Identifier) 1942387170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Laurie R. Gordon is physically located?
The Laurie R. Gordon is physically situated at the following address: Po Box 43, Mason, MI, 488540043.
What is the Laurie R. Gordon's area of specialization and corresponding taxonomy classification?
The Laurie R. Gordon'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 Centers for Medicare & Medicaid Services assign the 1942387170 to Laurie R. Gordon?
The Centers for Medicare & Medicaid Services assigned the 1942387170 to Laurie R. Gordon on 2006-11-01.
As of what date were the details pertaining to Laurie R. Gordon last refreshed?
The information related to the Laurie R. Gordon, including its address, specialty, and other relevant details, was last updated on 2012-06-25.
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