Gerald Benjamin Evans in Philadelphia - Clinical

Gerald Benjamin Evans - NPI 1235332743

Gerald Benjamin Evans is a Clinical in Philadelphia, Pennsylvania. Gerald Benjamin Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald Benjamin Evans is 1235332743. The last update date is 2007-07-08.

Gerald Benjamin Evans's current location address is 1601 Walnut St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155640488 and fax number 2155641245. The mailing address for Gerald Benjamin Evans is 1601 Walnut St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Benjamin Evans
Address 1601 Walnut St, Philadelphia, Pennsylvania
Phone Number 2155640488
Fax Number 2155641245
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1235332743
Provider Enumeration Date 2007-06-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1601 Walnut St
City Philadelphia
State Pennsylvania (PA)
Post Code 191022944
Phone Number 2155640488
Fax Number 2155641245

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CWO12294
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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FAQs about Gerald Benjamin Evans

What is the Gerald Benjamin Evans's unique identification number?

The Gerald Benjamin Evans has been assigned the NPI (National Provider Identifier) Number 1235332743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Gerald Benjamin Evans's physical address?

The Gerald Benjamin Evans is physically located at 1601 Walnut St, in the city of Philadelphia, PA, with the postal code 191022944.

What is the area of specialization for Gerald Benjamin Evans, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gerald Benjamin Evans is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235332743 to Gerald Benjamin Evans?

The Gerald Benjamin Evans received its 1235332743 assignment from the Centers for Medicare & Medicaid Services on 2007-06-11.

When was the information regarding Gerald Benjamin Evans most recently updated?

The details pertaining to the Gerald Benjamin Evans, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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