Gloria J Blea Johnson in Albuquerque - Clinical

Gloria J Blea Johnson - NPI 1023106432

Gloria J Blea Johnson is a Clinical in Albuquerque, New Mexico. Gloria J Blea Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gloria J Blea Johnson is 1023106432. The last update date is 2023-10-20.

Gloria J Blea Johnson's current location address is 2445 Iris Rd Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5052591737 and fax number 5055529894. The mailing address for Gloria J Blea Johnson is 2445 Iris Rd Nw, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria J Blea Johnson
Address 2445 Iris Rd Nw, Albuquerque, New Mexico
Phone Number 5052591737
Fax Number 5055529894
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1023106432
Provider Enumeration Date 2006-10-11
Last Updated Date 2023-10-20

Provider Mailing Address Detail

Address 2445 Iris Rd Nw
City Albuquerque
State New Mexico (NM)
Post Code 871043008
Phone Number 5052591737
Fax Number 5055529894

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No I-07544
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49821342 NM --

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FAQs about Gloria J Blea Johnson

What is the unique 10-digit identification code assigned to Gloria J Blea Johnson by the Centers for Medicare & Medicaid Services?

The Gloria J Blea Johnson has been issued the NPI (National Provider Identifier) 1023106432, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gloria J Blea Johnson is physically located?

The Gloria J Blea Johnson is physically situated at the following address: 2445 Iris Rd Nw, Albuquerque, NM, 871043008.

What is Gloria J Blea Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gloria J Blea Johnson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

When did the Gloria J Blea Johnson receive its 1023106432?

The Gloria J Blea Johnson was issued its 1023106432 on 2006-10-11, which is the date when the organization was assigned this unique identifier.

As of what date were the Gloria J Blea Johnson's details last updated?

The information pertaining to the Gloria J Blea Johnson, including its address, specialty, and other details, was most recently updated on 2023-10-20.

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