Cathy C. Dively is a Clinical in Goldsboro, North Carolina. Cathy C. Dively practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cathy C. Dively is 1063603942. The last update date is 2017-03-16.
Cathy C. Dively's current location address is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. You can contact this provider via phone number 9197316118 and fax number 9197316133. The mailing address for Cathy C. Dively is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cathy C. Dively |
|---|---|
| Address | 2700 Wayne Memorial Dr, Goldsboro, North Carolina |
| Phone Number | 9197316118 |
| Fax Number | 9197316133 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063603942 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2017-03-16 |
Provider Mailing Address Detail
| Address | 2700 Wayne Memorial Dr |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275349494 |
| Phone Number | 9197316118 |
| Fax Number | 9197316133 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005710 |
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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 10-digit identifier code issued to Cathy C. Dively by the Centers for Medicare & Medicaid Services?
The Cathy C. Dively has been assigned the NPI (National Provider Identifier) 1063603942 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Cathy C. Dively?
The Cathy C. Dively is physically situated at 2700 Wayne Memorial Dr, in the city of Goldsboro, state of NC, with the postal code 275349494.
What is Cathy C. Dively's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cathy C. Dively is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1063603942 assigned to Cathy C. Dively?
The Cathy C. Dively was issued its 1063603942 on 2007-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Cathy C. Dively's information last updated?
The Cathy C. Dively's information was last updated on 2017-03-16.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL