Gary Wayne Raynor is a Clinical in Boone, North Carolina. Gary Wayne Raynor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Wayne Raynor is 1609844521. The last update date is 2007-07-09.
Gary Wayne Raynor's current location address is 132 Poplar Grove Connector, Boone, North Carolina. You can contact this provider via phone number 8282648759 and fax number 8282625687. The mailing address for Gary Wayne Raynor is 132 Poplar Grove Connector, Boone, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Wayne Raynor |
|---|---|
| Address | 132 Poplar Grove Connector, Boone, North Carolina |
| Phone Number | 8282648759 |
| Fax Number | 8282625687 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609844521 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 132 Poplar Grove Connector |
|---|---|
| City | Boone |
| State | North Carolina (NC) |
| Post Code | 286075915 |
| Phone Number | 8282648759 |
| Fax Number | 8282625687 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C001467 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6003624 | NC | -- | |
| 70669 | NC | BCBS OF NC | |
| 2063647 | NC | CIGNA BEHAVIORAL HEALTH | |
| 87927 | NC | MEDCOST |
Post Comment/ Review Below
What is the Gary Wayne Raynor's unique identification number?
The Gary Wayne Raynor has been assigned the NPI (National Provider Identifier) Number 1609844521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Gary Wayne Raynor is located?
The Gary Wayne Raynor is situated at the following address: 132 Poplar Grove Connector, Boone, NC, 286075915.
What is Gary Wayne Raynor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Wayne Raynor's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Gary Wayne Raynor receive its 1609844521 assignment?
The Gary Wayne Raynor was assigned its 1609844521 on 2006-03-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Gary Wayne Raynor's details last updated?
The information pertaining to the Gary Wayne Raynor, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN