Gayle D Goldblatt is a Clinical in Coos Bay, Oregon. Gayle D Goldblatt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gayle D Goldblatt is 1912923848. The last update date is 2013-08-01.
Gayle D Goldblatt's current location address is 1957 Thompson Rd, Coos Bay, Oregon. You can contact this provider via phone number 5412668575 and fax number 5412697656. The mailing address for Gayle D Goldblatt is 1957 Thompson Rd, Coos Bay, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayle D Goldblatt |
|---|---|
| Address | 1957 Thompson Rd, Coos Bay, Oregon |
| Phone Number | 5412668575 |
| Fax Number | 5412697656 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912923848 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2013-08-01 |
Provider Mailing Address Detail
| Address | 1957 Thompson Rd |
|---|---|
| City | Coos Bay |
| State | Oregon (OR) |
| Post Code | 974202040 |
| Phone Number | 5412668575 |
| Fax Number | 5412697656 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3121 |
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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 Gayle D Goldblatt by the Centers for Medicare & Medicaid Services?
The Gayle D Goldblatt has been assigned the NPI (National Provider Identifier) 1912923848. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gayle D Goldblatt's physical address?
The Gayle D Goldblatt is physically located at 1957 Thompson Rd, in the city of Coos Bay, OR, with the postal code 974202040.
What is Gayle D Goldblatt'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 Gayle D Goldblatt is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Gayle D Goldblatt receive its 1912923848?
The Gayle D Goldblatt was issued its 1912923848 on 2006-07-14, which is the date when the organization was assigned this unique identifier.
When was the information related to Gayle D Goldblatt most recently updated or refreshed?
The details pertaining to the Gayle D Goldblatt, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-08-01.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL