Angela Kathryn Gaddis in Clinton - Clinical
Angela Kathryn Gaddis - NPI 1114132800
Angela Kathryn Gaddis is a Clinical in Clinton, Mississippi. Angela Kathryn Gaddis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angela Kathryn Gaddis is 1114132800. The last update date is 2007-07-08.
Angela Kathryn Gaddis's current location address is 132 Fairmont St Ste D, Clinton, Mississippi. You can contact this provider via phone number 6018421890. The mailing address for Angela Kathryn Gaddis is 132 Fairmont St Ste D, Clinton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Kathryn Gaddis |
|---|---|
| Address | 132 Fairmont St Ste D, Clinton, Mississippi |
| Phone Number | 6018421890 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114132800 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 132 Fairmont St Ste D |
|---|---|
| City | Clinton |
| State | Mississippi (MS) |
| Post Code | 390564721 |
| Phone Number | 6018421890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C2169 |
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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 Angela Kathryn Gaddis's 1114132800?
The Angela Kathryn Gaddis's NPI (National Provider Identifier) Number is 1114132800. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Angela Kathryn Gaddis's facilities are situated?
The facilities of Angela Kathryn Gaddis are physically located at the following address: 132 Fairmont St Ste D, Clinton, MS, 390564721.
What is the area of specialization for Angela Kathryn Gaddis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Angela Kathryn Gaddis is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Angela Kathryn Gaddis receive the assignment of its 1114132800 from the Centers for Medicare & Medicaid Services?
The Angela Kathryn Gaddis was issued its 1114132800 by the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information regarding Angela Kathryn Gaddis most recently updated?
The details pertaining to the Angela Kathryn Gaddis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.