Danette Charisse Gillespie-Otto in Portland - Clinical
Danette Charisse Gillespie-Otto - NPI 1235253758
Danette Charisse Gillespie-Otto is a Clinical in Portland, Oregon. Danette Charisse Gillespie-Otto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Danette Charisse Gillespie-Otto is 1235253758. The last update date is 2018-03-17.
Danette Charisse Gillespie-Otto's current location address is 911 Se 60th Ave Apt 104, Portland, Oregon. You can contact this provider via phone number 5034828982. The mailing address for Danette Charisse Gillespie-Otto is 911 Se 60th Ave Apt 104, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danette Charisse Gillespie-Otto |
|---|---|
| Address | 911 Se 60th Ave Apt 104, Portland, Oregon |
| Phone Number | 5034828982 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1235253758 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 911 Se 60th Ave Apt 104 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972152834 |
| Phone Number | 5034828982 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L4020 |
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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 |
|---|---|---|---|
| 500673411 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Danette Charisse Gillespie-Otto by the Centers for Medicare & Medicaid Services (CMS)?
The Danette Charisse Gillespie-Otto has been assigned the NPI (National Provider Identifier) 1235253758. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Danette Charisse Gillespie-Otto is physically located?
The Danette Charisse Gillespie-Otto is situated at the following address: 911 Se 60Th Ave Apt 104, Portland, OR 972152834.
What is Danette Charisse Gillespie-Otto's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Danette Charisse Gillespie-Otto is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235253758 to Danette Charisse Gillespie-Otto?
The Centers for Medicare & Medicaid Services assigned the 1235253758 to Danette Charisse Gillespie-Otto on 2007-03-19.
When was the information regarding Danette Charisse Gillespie-Otto most recently updated?
The details pertaining to the Danette Charisse Gillespie-Otto, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.
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