Ann Mckissick Gardener in Albuquerque - Clinical
Ann Mckissick Gardener - NPI 1396734836
Ann Mckissick Gardener is a Clinical in Albuquerque, New Mexico. Ann Mckissick Gardener practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ann Mckissick Gardener is 1396734836. The last update date is 2007-07-08.
Ann Mckissick Gardener's current location address is 2921 Carlisle Ne Blvd., Albuquerque, New Mexico. You can contact this provider via phone number 5052699187. The mailing address for Ann Mckissick Gardener is 2921 Carlisle Ne Blvd., Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ann Mckissick Gardener |
|---|---|
| Address | 2921 Carlisle Ne Blvd., Albuquerque, New Mexico |
| Phone Number | 5052699187 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1396734836 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2921 Carlisle Ne Blvd. |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 87110 |
| Phone Number | 5052699187 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-2522 |
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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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What is the unique provider identifier assigned to Ann Mckissick Gardener?
The Ann Mckissick Gardener has been issued the NPI (National Provider Identifier) 1396734836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Ann Mckissick Gardener located?
The Ann Mckissick Gardener is located at 2921 Carlisle Ne Blvd., Albuquerque, NM 87110.
What is Ann Mckissick Gardener's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ann Mckissick Gardener's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Ann Mckissick Gardener receive the assignment of its 1396734836 from the Centers for Medicare & Medicaid Services?
The Ann Mckissick Gardener was issued its 1396734836 by the Centers for Medicare & Medicaid Services on 2005-10-18.
When was the information related to Ann Mckissick Gardener most recently updated or refreshed?
The details pertaining to the Ann Mckissick Gardener, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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