Ethel Gonzalez is a Clinical in Jackson Hts, New York. Ethel Gonzalez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ethel Gonzalez is 1699836304. The last update date is 2007-07-08.
Ethel Gonzalez's current location address is 3424 77th St, Jackson Hts, New York. You can contact this provider via phone number 7188989615. The mailing address for Ethel Gonzalez is 3424 77th St, Jackson Hts, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ethel Gonzalez |
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Address | 3424 77th St, Jackson Hts, New York |
Phone Number | 7188989615 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW R |
NPI Number Detail
NPI Number | 1699836304 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3424 77th St |
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City | Jackson Hts |
State | New York (NY) |
Post Code | 11372 |
Phone Number | 7188989615 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | RO25697 |
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 identifier code issued to Ethel Gonzalez by the Centers for Medicare & Medicaid Services?
The Ethel Gonzalez has been assigned the NPI (National Provider Identifier) 1699836304. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ethel Gonzalez is located?
The Ethel Gonzalez is situated at the following address: 3424 77Th St, Jackson Hts, NY, 11372.
What is the Ethel Gonzalez's specialty and taxonomy code?
The Ethel Gonzalez's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699836304 to Ethel Gonzalez?
The Centers for Medicare & Medicaid Services originally issued the 1699836304 to Ethel Gonzalez on 2006-12-13.
When was the information related to Ethel Gonzalez most recently updated or refreshed?
The details pertaining to the Ethel Gonzalez, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.