Gwen Welch is a Clinical in Oregon City, Oregon. Gwen Welch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen Welch is 1164566212. The last update date is 2019-02-12.
Gwen Welch's current location address is 604 Charman St, Oregon City, Oregon. You can contact this provider via phone number 5038778218 and fax number 5033897945. The mailing address for Gwen Welch is 604 Charman St, Oregon City, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Welch |
|---|---|
| Address | 604 Charman St, Oregon City, Oregon |
| Phone Number | 5038778218 |
| Fax Number | 5033897945 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1164566212 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2019-02-12 |
Provider Mailing Address Detail
| Address | 604 Charman St |
|---|---|
| City | Oregon City |
| State | Oregon (OR) |
| Post Code | 970453018 |
| Phone Number | 5038778218 |
| Fax Number | 5033897945 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L4178 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P07539 | MA | BLUE CROSS BLUE SHIELD | |
| 50069742 | OR | -- |
Post Comment/ Review Below
What is the Gwen Welch's unique identification number?
The Gwen Welch has been assigned the NPI (National Provider Identifier) Number 1164566212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gwen Welch is physically located?
The Gwen Welch is physically situated at the following address: 604 Charman St, Oregon City, OR, 970453018.
What is Gwen Welch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gwen Welch's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Gwen Welch receive the assignment of its 1164566212 from the Centers for Medicare & Medicaid Services?
The Gwen Welch was issued its 1164566212 by the Centers for Medicare & Medicaid Services on 2007-02-19.
As of what date were the details related to Gwen Welch most recently updated or revised?
The information pertaining to Gwen Welch, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-12.