Sara Julia Faye Gothard in Lebanon - Clinical
Sara Julia Faye Gothard - NPI 1477518090
Sara Julia Faye Gothard is a Clinical in Lebanon, Ohio. Sara Julia Faye Gothard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sara Julia Faye Gothard is 1477518090. The last update date is 2016-06-28.
Sara Julia Faye Gothard's current location address is 204 Cook Rd, Lebanon, Ohio. You can contact this provider via phone number 5132287800 and fax number 5136952952. The mailing address for Sara Julia Faye Gothard is 204 Cook Rd, Lebanon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara Julia Faye Gothard |
|---|---|
| Address | 204 Cook Rd, Lebanon, Ohio |
| Phone Number | 5132287800 |
| Fax Number | 5136952952 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1477518090 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2016-06-28 |
Provider Mailing Address Detail
| Address | 204 Cook Rd |
|---|---|
| City | Lebanon |
| State | Ohio (OH) |
| Post Code | 450369600 |
| Phone Number | 5132287800 |
| Fax Number | 5136952952 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-1302271 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Sara Julia Faye Gothard by the Centers for Medicare & Medicaid Services (CMS)?
The Sara Julia Faye Gothard has been assigned the NPI (National Provider Identifier) 1477518090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Sara Julia Faye Gothard?
The Sara Julia Faye Gothard is physically situated at 204 Cook Rd, in the city of Lebanon, state of OH, with the postal code 450369600.
What is the Sara Julia Faye Gothard's area of specialization and corresponding taxonomy classification?
The Sara Julia Faye Gothard's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Sara Julia Faye Gothard receive its 1477518090 assignment?
The Sara Julia Faye Gothard was assigned its 1477518090 on 2006-04-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Sara Julia Faye Gothard last refreshed?
The information related to the Sara Julia Faye Gothard, including its address, specialty, and other relevant details, was last updated on 2016-06-28.