Patricia M Gordon in Pascagoula - Clinical

Patricia M Gordon - NPI 1972608479

Patricia M Gordon is a Clinical in Pascagoula, Mississippi. Patricia M Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia M Gordon is 1972608479. The last update date is 2013-08-22.

Patricia M Gordon's current location address is 4105 Hospital St, Pascagoula, Mississippi. You can contact this provider via phone number 2286969224 and fax number 2286969228. The mailing address for Patricia M Gordon is 4105 Hospital St, Pascagoula, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia M Gordon
Address 4105 Hospital St, Pascagoula, Mississippi
Phone Number 2286969224
Fax Number 2286969228
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1972608479
Provider Enumeration Date 2006-09-13
Last Updated Date 2013-08-22

Provider Mailing Address Detail

Address 4105 Hospital St
City Pascagoula
State Mississippi (MS)
Post Code 395815312
Phone Number 2286969224
Fax Number 2286969228

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C5683
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 Patricia M Gordon

What is the unique identifier code issued to Patricia M Gordon by the Centers for Medicare & Medicaid Services (CMS)?

The Patricia M Gordon has been assigned the NPI (National Provider Identifier) 1972608479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Patricia M Gordon is physically located?

The Patricia M Gordon is situated at the following address: 4105 Hospital St, Pascagoula, MS 395815312.

What is Patricia M Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Patricia M Gordon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1972608479 to Patricia M Gordon?

The Patricia M Gordon received its 1972608479 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.

When was the Patricia M Gordon's information last updated?

The Patricia M Gordon's information was last updated on 2013-08-22.

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