Penny Dawn Wedin-Gorden in Bismarck - Clinical
Penny Dawn Wedin-Gorden - NPI 1093757205
Penny Dawn Wedin-Gorden is a Clinical in Bismarck, North Dakota. Penny Dawn Wedin-Gorden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penny Dawn Wedin-Gorden is 1093757205. The last update date is 2007-07-08.
Penny Dawn Wedin-Gorden's current location address is 1237 W Divide Ave, Bismarck, North Dakota. You can contact this provider via phone number 7013288832 and fax number 7013288900. The mailing address for Penny Dawn Wedin-Gorden is 1237 W Divide Ave, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Dawn Wedin-Gorden |
|---|---|
| Address | 1237 W Divide Ave, Bismarck, North Dakota |
| Phone Number | 7013288832 |
| Fax Number | 7013288900 |
| Sole Proprietor | N |
| Credentials | LICSW,LAC |
NPI Number Detail
| NPI Number | 1093757205 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1237 W Divide Ave |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 585011290 |
| Phone Number | 7013288832 |
| Fax Number | 7013288900 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2031 |
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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 identifier code issued to Penny Dawn Wedin-Gorden by the Centers for Medicare & Medicaid Services?
The Penny Dawn Wedin-Gorden has been assigned the NPI (National Provider Identifier) 1093757205. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Penny Dawn Wedin-Gorden's facilities are geographically located?
The facilities of Penny Dawn Wedin-Gorden are physically situated at the following location: 1237 W Divide Ave, Bismarck, ND, 585011290.
What is Penny Dawn Wedin-Gorden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Penny Dawn Wedin-Gorden is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Penny Dawn Wedin-Gorden receive its 1093757205 assignment from the Centers for Medicare & Medicaid Services?
The Penny Dawn Wedin-Gorden was assigned its 1093757205 by the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the details related to Penny Dawn Wedin-Gorden most recently updated or revised?
The information pertaining to Penny Dawn Wedin-Gorden, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.