Iraida Gonzalez is a Clinical in Providence, Rhode Island. Iraida Gonzalez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Iraida Gonzalez is 1457447963. The last update date is 2017-02-07.
Iraida Gonzalez's current location address is 825 Chalkstone Ave, Providence, Rhode Island. You can contact this provider via phone number 4014564807. The mailing address for Iraida Gonzalez is 825 Chalkstone Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iraida Gonzalez |
|---|---|
| Address | 825 Chalkstone Ave, Providence, Rhode Island |
| Phone Number | 4014564807 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1457447963 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2017-02-07 |
Provider Mailing Address Detail
| Address | 825 Chalkstone Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29084728 |
| Phone Number | 4014564807 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW01669 |
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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 10-digit identification code issued to Iraida Gonzalez by the Centers for Medicare & Medicaid Services?
The Iraida Gonzalez has been assigned the NPI (National Provider Identifier) 1457447963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Iraida Gonzalez located?
The Iraida Gonzalez is located at 825 Chalkstone Ave, Providence, RI 29084728.
What is Iraida Gonzalez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Iraida Gonzalez is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Iraida Gonzalez receive the assignment of its 1457447963 from the Centers for Medicare & Medicaid Services?
The Iraida Gonzalez was issued its 1457447963 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information pertaining to Iraida Gonzalez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Iraida Gonzalez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-07.