Ida Blan Goodwine in Rockaway Beach - Clinical
Ida Blan Goodwine - NPI 1629264346
Ida Blan Goodwine is a Clinical in Rockaway Beach, New York. Ida Blan Goodwine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ida Blan Goodwine is 1629264346. The last update date is 2007-09-16.
Ida Blan Goodwine's current location address is 220 Beach 87th St, Rockaway Beach, New York. You can contact this provider via phone number 7183186536 and fax number 7183186597. The mailing address for Ida Blan Goodwine is 220 Beach 87th St, Rockaway Beach, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ida Blan Goodwine |
---|---|
Address | 220 Beach 87th St, Rockaway Beach, New York |
Phone Number | 7183186536 |
Fax Number | 7183186597 |
Sole Proprietor | Y |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1629264346 |
---|---|
Provider Enumeration Date | 2007-09-16 |
Last Updated Date | 2007-09-16 |
Provider Mailing Address Detail
Address | 220 Beach 87th St |
---|---|
City | Rockaway Beach |
State | New York (NY) |
Post Code | 116931604 |
Phone Number | 7183186536 |
Fax Number | 7183186597 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
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 |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ida Blan Goodwine by the Centers for Medicare & Medicaid Services?
The Ida Blan Goodwine has been issued the NPI (National Provider Identifier) 1629264346 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Ida Blan Goodwine located?
The Ida Blan Goodwine is located at 220 Beach 87Th St, Rockaway Beach, NY 116931604.
What is Ida Blan Goodwine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ida Blan Goodwine is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Ida Blan Goodwine receive the assignment of its 1629264346 from the Centers for Medicare & Medicaid Services?
The Ida Blan Goodwine was issued its 1629264346 by the Centers for Medicare & Medicaid Services on 2007-09-16.
As of what date were the details related to Ida Blan Goodwine most recently updated or revised?
The information pertaining to Ida Blan Goodwine, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-16.