Ellen Ammen Gooch in Lumberton - Clinical

Ellen Ammen Gooch - NPI 1366637001

Ellen Ammen Gooch is a Clinical in Lumberton, North Carolina. Ellen Ammen Gooch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Ammen Gooch is 1366637001. The last update date is 2007-09-06.

Ellen Ammen Gooch's current location address is 108 W 9th St, Lumberton, North Carolina. You can contact this provider via phone number 9107398622 and fax number 9107391180. The mailing address for Ellen Ammen Gooch is 108 W 9th St, Lumberton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Ammen Gooch
Address 108 W 9th St, Lumberton, North Carolina
Phone Number 9107398622
Fax Number 9107391180
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1366637001
Provider Enumeration Date 2007-09-06
Last Updated Date 2007-09-06

Provider Mailing Address Detail

Address 108 W 9th St
City Lumberton
State North Carolina (NC)
Post Code 283584844
Phone Number 9107398622
Fax Number 9107391180

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C004888
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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FAQs about Ellen Ammen Gooch

What is the unique provider identifier assigned to Ellen Ammen Gooch?

The Ellen Ammen Gooch has been issued the NPI (National Provider Identifier) 1366637001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Ellen Ammen Gooch is physically located?

The Ellen Ammen Gooch is situated at the following address: 108 W 9Th St, Lumberton, NC 283584844.

What is the Ellen Ammen Gooch's area of specialization and corresponding taxonomy classification?

The Ellen Ammen Gooch's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1366637001 assigned to Ellen Ammen Gooch?

The Ellen Ammen Gooch was issued its 1366637001 on 2007-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ellen Ammen Gooch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ellen Ammen Gooch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-06.

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