Lisa B Gavin is a Clinical in Greenville, North Carolina. Lisa B Gavin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa B Gavin is 1669582516. The last update date is 2015-07-14.
Lisa B Gavin's current location address is 4300 Sapphire Ct Ste 110, Greenville, North Carolina. You can contact this provider via phone number 2528307561 and fax number 2524130932. The mailing address for Lisa B Gavin is 4300 Sapphire Ct Ste 110, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa B Gavin |
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Address | 4300 Sapphire Ct Ste 110, Greenville, North Carolina |
Phone Number | 2528307561 |
Fax Number | 2524130932 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1669582516 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2015-07-14 |
Provider Mailing Address Detail
Address | 4300 Sapphire Ct Ste 110 |
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City | Greenville |
State | North Carolina (NC) |
Post Code | 278349079 |
Phone Number | 2528307561 |
Fax Number | 2524130932 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | C002322 |
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 Lisa B Gavin by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa B Gavin has been assigned the NPI (National Provider Identifier) 1669582516. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lisa B Gavin?
The Lisa B Gavin is situated at 4300 Sapphire Ct Ste 110, in the city of Greenville, state of NC, with the zip code 278349079.
What is Lisa B Gavin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa B Gavin is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Lisa B Gavin receive its 1669582516 assignment from the Centers for Medicare & Medicaid Services?
The Lisa B Gavin was assigned its 1669582516 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information pertaining to Lisa B Gavin most recently updated or revised?
The details related to Lisa B Gavin, including its address, specialty, and other relevant information, were last updated or revised on 2015-07-14.